Individual
ALLA KOTLYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1201 OCEAN PARKWAY, BROOKLYN, NY 11230
(718) 677-9103
(718) 677-9103
Mailing address
1201 OCEAN PARKWAY, BROOKLYN, NY 11230
(718) 677-9103
(718) 677-9103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0396901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01006519
—
NY
Enumeration date
11/01/2006
Last updated
07/08/2007
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