Individual
DR. JUSTIN BRAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
63 CRICKET CLUB DR, ROSLYN, NY 11576-2907
(516) 458-6624
Mailing address
63 CRICKET CLUB DR, ROSLYN, NY 11576-2907
(516) 458-6624
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
059227
NY
Other
Enumeration date
06/23/2016
Last updated
07/21/2022
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