Individual
AHMED BORAEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 MYANO CT, STAMFORD, CT 06902-2108
(609) 456-1971
Mailing address
19 MYANO CT, STAMFORD, CT 06902-2108
(609) 456-1971
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
000000
NY
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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