Individual
JOANNE STPAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1569 RALPH AVE, BROOKLYN, NY 11236
(718) 251-7167
Mailing address
1569 RALPH AVE, BROOKLYN, NY 11236
(718) 251-7167
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050925
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
10/26/2006
Last updated
02/09/2009
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