Individual
DR. ELLIS F LUTWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
207 OCEAN PARKWAY, SUITE 1H, BROOKLYN, NY 11218
(718) 436-0079
Mailing address
207 OCEAN PARKWAY, SUITE 1H, BROOKLYN, NY 11218
(718) 436-0079
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
031409
NY
122300000X
Dentist
DI010668
NJ
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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