Individual
GENE ENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2848 CHURCH AVE STE 201B, BROOKLYN, NY 11226-8270
(484) 318-6504
Mailing address
15801 CHAGALL TER, NORTH POTOMAC, MD 20878-3461
(484) 318-6504
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
059231
NY
Other
Enumeration date
02/06/2016
Last updated
09/10/2020
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