Individual
MS. FENELLA VAYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
79 AVENUE U, BROOKLYN, NY 11223-3551
(718) 373-6707
Mailing address
277 BEAUMONT ST, BROOKLYN, NY 11235-4120
(917) 337-7183
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
060495
NY
Other
Enumeration date
04/12/2018
Last updated
10/09/2023
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