Individual
DR. ABRAHAM DYZENHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8409 35TH AVE, APT 1-F, JACKSON HEIGHTS, NY 11372-5454
(718) 446-3219
(718) 446-8598
Mailing address
8409 35TH AVE, APT 1-F, JACKSON HEIGHTS, NY 11372-5454
(718) 446-3219
(718) 446-8598
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
039914
NY
Other
Enumeration date
01/21/2007
Last updated
07/08/2007
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