Individual
DR. GRACE ENCARNACION CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
111 E 210TH ST, MONTEFIORE MEDICAL CENTER- PEDIATRIC DENTISTRY, BRONX, NY 10467-2401
(347) 577-4950
(347) 577-4926
Mailing address
259 KINDERKAMACK RD, WESTWOOD, NJ 07675-2204
(718) 619-1529
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
049650
NY
1223P0221X
Pediatric Dentistry
22DI02267700
NJ
1223P0221X
Pediatric Dentistry
22DI02267701
NJ
1223P0221X
Pediatric Dentistry
8940
CT
1223P0221X
Pediatric Dentistry
DS038115
PA
Other
Enumeration date
10/27/2005
Last updated
05/31/2020
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