Individual
EZEKIEL DWEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2270 OCEAN AVE, BROOKLYN, NY 11229-3038
(718) 946-0500
Mailing address
2270 OCEAN AVE, BROOKLYN, NY 11229-3038
(718) 946-0500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
062143
NY
1223G0001X
General Practice Dentistry
22DI02828400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2020
Last updated
03/07/2022
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