Individual
RONALD DAVID MIZRAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
372 AVENUE U, 2ND FLOOR, BROOKLYN, NY 11223-4033
(718) 998-5100
(718) 382-0201
Mailing address
372 AVENUE U, 2ND FLOOR, BROOKLYN, NY 11223-4033
(718) 998-5100
(718) 382-0201
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
040858-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01349375
—
NY
Enumeration date
08/10/2006
Last updated
07/08/2007
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