Individual
IMANI GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
650 ASHFORD ST, BROOKLYN, NY 11207-7315
(347) 505-1800
Mailing address
592 ROCKAWAY AVE, BROOKLYN, NY 11212-5539
(718) 345-5000
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
030186
NY
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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