Individual
EMMY OMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
25 W 68TH ST, SUITE 1A, NEW YORK, NY 10023-5302
(212) 579-8885
(212) 579-8881
Mailing address
25 W 68TH ST, SUITE 1A, NEW YORK, NY 10023-5302
(212) 579-8885
(212) 579-8881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0407161
NY
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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