Individual
DR. ABBIE VENUS LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
623 MACON STREET, 2ND FLOOR, BROOKLYN, NY 11233
(718) 453-2030
Mailing address
623 MACON STREET, 2ND FLOOR, BROOKLYN, NY 11233
(718) 453-2030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042030
NY
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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