Individual
GABRIELLA FALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8795 15TH AVE, BROOKLYN, NY 11228-3802
(646) 620-8701
Mailing address
8795 15TH AVE, BROOKLYN, NY 11228-3802
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
063417
NY
Other
Enumeration date
03/22/2022
Last updated
09/13/2023
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