Individual
DR. BRIANNA CHRISTINE FREITAG VANDERVOORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
160 BROADWAY RM 1004, NEW YORK, NY 10038-4213
(127) 521-2287
Mailing address
60 WATER ST APT 1111, BROOKLYN, NY 11201-1988
(248) 974-4503
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
062396-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
11/02/2023
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