Individual
DR. JEAN EDOUARD FAYETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
456 SCHENECTADY AVE, AP#1P, BROOKLYN, NY 11203-1353
(718) 953-7639
(718) 363-5927
Mailing address
456 SCHENECTADY AVE., AP#1P, BROOKLYN, NY 11203
(718) 953-7639
(718) 363-5927
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045000
NY
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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