Individual
THEODORE DANIEL SCHWAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
115 E 61ST ST STE 6D, NEW YORK, NY 10065-8185
(646) 796-8797
Mailing address
115 E 61ST ST STE 6D, NEW YORK, NY 10065-8185
(646) 796-8797
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
06001
NY
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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