Individual
DR. DANA AL BAROUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-8088
Mailing address
7373 RIDGE AVE APT 126, PHILADELPHIA, PA 19128-3255
(402) 770-8117
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS041363
PA
1223P0221X
Pediatric Dentistry
Primary
DS041363
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/31/2016
Last updated
08/10/2017
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