Organization
MBP ORTHODONTICS
Active
Organization
MBP ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BINA PARK (OWNER)
(212) 369-2462
Entity
Organization
Contact information
Practice address
42 SHERWOOD PL, GREENWICH, CT 06830-5638
(203) 900-1111
Mailing address
42 SHERWOOD PLACE, GREENWICH, CT 06830
(203) 900-1111
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
050010-1
NY
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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