Individual
CHENHAO LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
645 10TH AVE, NEW YORK, NY 10036-2904
(212) 749-1820
Mailing address
645 10TH AVE, NEW YORK, NY 10036-2904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063510
NY
1223G0001X
General Practice Dentistry
DS043533
PA
Other
Enumeration date
04/29/2021
Last updated
05/09/2024
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