Individual
DR. MAURO D PERDOMO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
111 LAWRENCE ST, APT. 5E, BROOKLYN, NY 11201-3860
(201) 927-3607
Mailing address
111 LAWRENCE ST, APT. 5E, BROOKLYN, NY 11201-3860
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056679-1
NY
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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