Individual
NAOMI BRIANNE BOUAZIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
3165 STEINWAY ST, ASTORIA, NY 11103-3908
(718) 545-5100
Mailing address
100 CUTTERMILL RD APT 4E, GREAT NECK, NY 11021-3116
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
062561
NY
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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