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Organization
BUSHWICK ORTHODONTIC STUDIO
Active
Organization
BUSHWICK ORTHODONTIC STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRES GONZALEZ DMD (PRESIDENT)
(347) 382-6861
Entity
Organization
Contact information
Practice address
203 IRVING AVE FL 1, BROOKLYN, NY 11237-8077
(347) 382-6861
Mailing address
23 N HENRY ST APT 1, BROOKLYN, NY 11222-5055
(305) 450-8116
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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