PETHAN TIN, DDS

Dentist - Oral and Maxillofacial Surgery

Active Individual
NPI: 1669428041

Practice Address

1940 GRAND CONCOURSE
Bronx, NY 10457

Phone: (718) 583-6347

Specialties

Specialty Code Primary License
Dentist - Oral and Maxillofacial Surgery 1223S0112X Yes 052227 (NY)

Frequently Asked Questions

NPI 1669428041 is the National Provider Identifier for PETHAN TIN, DDS, a Dentist - Oral and Maxillofacial Surgery provider located in Bronx, NY. This NPI was enumerated on May 26, 2006.
PETHAN TIN, DDS practices at 1940 GRAND CONCOURSE, Bronx, NY 10457.

Quick Facts

NPI
1669428041
Type
Individual
Enumerated
May 26, 2006
Last Updated
Jul 8, 2007

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