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Individual

ALEX WOLBROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
403 MERRICK AVE UNIT 1, EAST MEADOW, NY 11554-2200
(516) 308-9244
Mailing address
403 MERRICK AVE UNIT 1, EAST MEADOW, NY 11554-2200

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062057
NY

Other

Enumeration date
06/03/2020
Last updated
01/20/2022
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