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Organization

DAVID L BRISMAN DMD PC

Active
Other names
Brisman Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID L BRISMAN DMD (OWNER)
(212) 673-6900
Entity
Organization

Contact information

Practice address
31 WASHINGTON SQ W APT 1R, NEW YORK, NY 10011-9172
(212) 673-6900
(212) 254-7356
Mailing address
31 WASHINGTON SQ W APT 1R, NEW YORK, NY 10011-9172
(212) 673-6900
(212) 254-7356

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1760566921
DENTAL
NY
01
1831896588
DENTAL
NY
Enumeration date
02/19/2025
Last updated
02/19/2025
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