Individual
DR. EDWARD M BRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2233 NESCONSET HWY, SUITE 101, LAKE GROVE, NY 11755-1000
(631) 588-3636
(631) 588-3637
Mailing address
2233 NESCONSET HWY, SUITE 101, LAKE GROVE, NY 11755-1000
(631) 588-3636
(631) 588-3637
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
028430
NY
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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