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Organization
TRACEY H JOSEPH DDS., PLLC
Active
Organization
TRACEY H JOSEPH DDS., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACEY JOSEPH DDS (OWNER)
(718) 377-1319
Entity
Organization
Contact information
Practice address
1655 FLATBUSH AVE, SUITE A104, BROOKLYN, NY 11210-3276
(718) 377-1319
Mailing address
1655 FLATBUSH AVE, SUITE A104, BROOKLYN, NY 11210-3276
(718) 377-1319
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048192
NY
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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