Organization
FORT WASHINGTON DENTAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR LEE (PRESIDENT)
(212) 928-9000
Entity
Organization
Contact information
Practice address
130 FORT WASHINGTON AVE OFC 1B, NEW YORK, NY 10032-4724
(212) 928-9000
Mailing address
130 FORT WASHINGTON AVE OFC 1B, NEW YORK, NY 10032-4724
(212) 928-9000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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