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Organization
TERRERO DENTAL III, PC
Active
Organization
TERRERO DENTAL III, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN EDUADO TERRERO (PRESIDENT)
(212) 825-0943
Entity
Organization
Contact information
Practice address
147 MONTAGUE ST, BROOKLYN, NY 11201-3510
(212) 825-0943
(212) 668-5252
Mailing address
17 BATTERY PL STE 205, NEW YORK, NY 10004-1151
(212) 825-0943
(212) 668-5252
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043274
NY
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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