Individual
TED TATSUSHI UOTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
506 LENOX AVE, NEW YORK, NY 10037-1889
(212) 939-2848
Mailing address
227 E 86TH ST APT 3C, NEW YORK, NY 10028-3114
(832) 212-6155
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
061282
NY
Other
Enumeration date
02/28/2019
Last updated
01/23/2025
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