Individual
SHARON LISA DEBROECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62 2ND PL, BROOKLYN, NY 11231-4106
(718) 797-5437
Mailing address
62 2ND PL, BROOKLYN, NY 11231-4106
(718) 797-5437
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
17471
MD
Other
Enumeration date
05/10/2018
Last updated
04/05/2024
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