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Individual
LORIS ABRAHAM
Active
Individual
LORIS ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
038272-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00857763
—
NY
Enumeration date
05/24/2007
Last updated
12/30/2013
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