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Individual

DR. DEBRA MANDELBAUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
625 MAIN AVE, PASSAIC, NJ 07055-4952
(973) 574-1000
Mailing address
1921 50TH ST, BROOKLYN, NY 11204-1313
(516) 236-4657

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0593451
NY

Other

Enumeration date
05/07/2015
Last updated
03/17/2018
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