Individual
DR. CEZARY MITRUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3044 29TH ST, 1D, ASTORIA, NY 11102-2533
(718) 545-7770
Mailing address
3044 29TH ST, 1D, ASTORIA, NY 11102-2533
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
049403
NY
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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