Edouard Etlis DDS

NPI 1013937416 - Dentist - 1223G0001X

NPI Details
NPI 1013937416
Gender Male
Enumeration Date 07/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3030 OCEAN AVE
SUITE AA
BROOKLYN NY, 11235-3363, US
Phone (718) 769-5379
Fax (718) 769-2365
Business Location
3030 OCEAN AVE
SUITE AA
BROOKLYN NY, 11235-3363, US
Phone (718) 769-5379
Fax (718) 769-2365
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 047627
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According to our database, Edouard Etlis DDS NPI is 1013937416, taxonomy code is 1223G0001X and license number is 047627, license state is located at New York. Edouard Etlis DDS physically located at 3030 Ocean Ave, Brooklyn NY, 11235-3363. NPI Number Edouard Etlis DDS has the Individual type.

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1013937416 NPI number is provided on an as is basis without warranty of any kind. 1013937416 is maintained by the National Plan & Provider Enumeration System. The contents of Edouard Etlis DDS are for informational purposes only.