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Individual

DANIEL DAVID STERN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
122 HARRISON ST, LAWRENCE, NY 11559-1932
(917) 757-2790
Mailing address
122 HARRISON ST, LAWRENCE, NY 11559-1932
(917) 757-2790

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
058086
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04225509
NY
Enumeration date
05/21/2015
Last updated
02/24/2016
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