Individual
DR. GADI DEKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
339 WYCKOFF AVE, RIDGEWOOD, NY 11385-2753
(718) 366-0662
Mailing address
14440 73RD AVE, FLUSHING, NY 11367-2413
(718) 544-1648
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047376-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02010213
—
NY
01
—
047376-1
NYS DENTAL LICENSE
NY
Enumeration date
01/10/2007
Last updated
07/08/2007
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