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Individual

DR. MARIO TUCHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.,M.D.

Contact information

Practice address
353 LEXINGTON AVE, SUITE #700, NEW YORK, NY 10016-0941
(646) 874-4004
Mailing address
200 E 71ST ST, 11-J, NEW YORK, NY 10021-5137
(310) 749-8131

Taxonomy

Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
DN17755
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
054229-1
NY

Other

Enumeration date
07/26/2006
Last updated
03/09/2017
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