Individual
MERIEM BOUKADOUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 2ND AVE, APARTMENT 4C, NEW YORK, NY 10016-8640
(703) 955-0668
Mailing address
520 2ND AVE APT 4C, NEW YORK, NY 10016-8619
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50057519
NY
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
About Stedi
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