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Individual

ANN CHERUKARA SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
(718) 991-4516
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
(718) 991-4516

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058251
NY
1223P0221X
Pediatric Dentistry
058251
NY

Other

Enumeration date
09/08/2015
Last updated
04/04/2024
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