Individual
CHARLES A LENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
635 MADISON AVE, 19TH FLOOR, NEW YORK, NY 10022-1009
(212) 752-1661
Mailing address
317 UPPER BLVD, RIDGEWOOD, NJ 07450-2422
(201) 670-1822
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
037444
NY
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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