Individual
DR. ANDY WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4422 THIRD AVENUE, ST. BARNABAS HOSPITAL/MILLS BUILDING - DENTAL, BRONX, NY 10457
(718) 332-9888
Mailing address
210 CANAL ST, NEW YORK, NY 10013-4155
(212) 385-0001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056280
NY
Other
Enumeration date
06/09/2011
Last updated
10/17/2012
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