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Individual

BRIAR LEA DENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
273704
NY
208200000X
Plastic Surgery Physician
57320
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008080420
CT
05
05106863
NY
Enumeration date
04/09/2012
Last updated
07/27/2018
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