Individual
DR. IDELLE BRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
19 W 34TH ST, SUITE 1022, NEW YORK, NY 10001-3006
(212) 947-0073
(212) 465-1883
Mailing address
19 W 34TH ST, SUITE 1022, NEW YORK, NY 10001-3006
(212) 947-0073
(212) 465-1883
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036211
NY
Other
Enumeration date
11/11/2006
Last updated
07/08/2007
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