Individual
DR. ANASTASIA DEPOUNTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
23 BOND ST, BROOKLYN, NY 11201-5805
(718) 237-0222
(718) 522-1556
Mailing address
50 FOX CHAPEL DR, ORCHARD PARK, NY 14127-3024
(917) 723-0925
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
053086
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
053086
NY
Other
Enumeration date
05/11/2009
Last updated
07/21/2020
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