Individual
DANIAN WEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
155 WEST 68TH STREET, SUITE 226, NEW YORK, NY 10023-5824
(212) 362-1882
Mailing address
87-08 JUSTICE AVE, APT 6H, ELMHURST, NY 11373-4578
(718) 639-1985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049187
NY
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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