Individual
MISS DORIS OHEVSHALOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1648 E 14TH ST, SUITE# 4, BROOKLYN, NY 11229
(718) 376-8886
(718) 376-8168
Mailing address
1648 E 14TH ST, BROOKLYN, NY 11229-1191
(718) 376-8886
(718) 376-8168
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048675
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02137039
—
NY
Enumeration date
10/27/2005
Last updated
06/06/2018
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