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Individual

DR. EDWARD CHALOUH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1950 E 12TH ST, BROOKLYN, NY 11229-2704
(718) 455-0160
Mailing address
1950 E 12TH ST, BROOKLYN, NY 11229-2704
(718) 455-0160

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050606
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02410644
NY
Enumeration date
12/04/2007
Last updated
12/04/2007
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