Individual
CHANA LINDA WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, M.S.
Contact information
Practice address
41 WEST 72ND ST, NY, NY 10023
(212) 721-8373
Mailing address
41 WEST 72ND ST, #LD, NY, NY 10023
(212) 721-8373
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
039533
NY
Other
Enumeration date
09/29/2008
Last updated
10/02/2008
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