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Organization
RONALD DEUTSEN DDS PC
Active
Organization
RONALD DEUTSEN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD DEUTSEN DDS (PRINCIPAL OWNER/DIRECTOR)
(718) 253-2300
Entity
Organization
Contact information
Practice address
1122 CONEY ISLAND AVE, BROOKLYN, NY 11230
(718) 253-2300
(718) 252-7910
Mailing address
2016 AVE M, BROOKLYN, NY 11210
(718) 253-2300
(718) 252-7910
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049859
NY
1223G0001X
General Practice Dentistry
049859
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02241858
—
NY
Enumeration date
12/13/2011
Last updated
12/13/2011
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