Organization
EMPIRE PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICE LEE DDS (PRESIDENT)
(212) 255-4337
Entity
Organization
Contact information
Practice address
365 W 25TH ST, NEW YORK, NY 10001-5803
(212) 255-4337
Mailing address
365 W 25TH ST, NEW YORK, NY 10001-5803
(212) 255-4337
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
048236
NY
Other
Enumeration date
01/21/2015
Last updated
12/30/2016
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