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Individual

DR. ABRAHAM J GANZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
1701 SUNRISE HWY SPC NOC7, BAY SHORE, NY 11706-6091
(631) 666-1440
Mailing address
1701 SUNRISE HWY SPC NOC7, BAY SHORE, NY 11706-6091

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
057226-1
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22DI02488900
NJ

Other

Enumeration date
05/11/2014
Last updated
12/17/2024
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