Individual
DR. ILAN TZUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
809 STATE ROUTE 208, STE 4, MONROE, NY 10950-1829
(845) 782-5040
(845) 782-3478
Mailing address
809 STATE ROUTE 208, STE 4, MONROE, NY 10950-1829
(845) 782-5040
(845) 782-3478
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047225
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01783820
—
NY
Enumeration date
08/05/2007
Last updated
08/05/2007
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