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Individual

DR. GEHAN ADAM

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
447 FULTON ST, BROOKLYN, NY 11201-5207
(718) 875-3200
(718) 875-4573
Mailing address
447 FULTON ST, BROOKLYN, NY 11201-5207
(718) 875-3200
(718) 875-4573

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050608
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02530954
NY
Enumeration date
04/07/2006
Last updated
07/08/2007
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