Individual
DR. ISAAC S TBEILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1610 RALPH AVE, BROOKLYN, NY 11236-3129
(718) 241-7374
Mailing address
1610 RALPH AVE, BROOKLYN, NY 11236-3129
(718) 332-1628
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
047539
NY
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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