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Individual

DR. NANCY URBAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
722 BROADWAY, BROOKLYN, NY 11206-4403
(718) 387-0953
Mailing address
71 PRINCETON ST, GARDEN CITY, NY 11530-4024
(516) 352-6798

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
053243-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03109524
NY
Enumeration date
09/25/2008
Last updated
05/13/2012
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