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Individual

MISS ELLIOT AARON BECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1349 47TH ST, BROOKLYN, NY 11219-2612
(718) 438-3816
(718) 438-3991
Mailing address
1349 47TH ST, BROOKLYN, NY 11219-2612
(718) 438-3816
(718) 438-3991

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
027992
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00948265
NY
Enumeration date
04/24/2007
Last updated
07/09/2007
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