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Organization

BRUCE J LISH DDS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE J LISH DDS (OWNER)
(718) 763-1817
Entity
Organization

Contact information

Practice address
7224 AVENUE T, BROOKLYN, NY 11234-6235
(718) 763-1817
(917) 591-4970
Mailing address
7224 AVENUE T, BROOKLYN, NY 11234-6235
(718) 763-1817
(917) 591-4970

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
045725
NY

Other

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