Organization
ALPHA & OMEGA DENTAL, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SE-A CHUNG D.M.D. (GENERAL PARTNER)
(845) 351-5158
Entity
Organization
Contact information
Practice address
220 ROUTE 17, TUXEDO PARK, NY 10987-4410
(845) 351-5158
Mailing address
220 ROUTE 17, P.O. BOX 625, TUXEDO PARK, NY 10987-4410
(845) 351-5158
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051740
NY
Other
Enumeration date
05/23/2007
Last updated
04/15/2008
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