Individual
DAVID ASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1025 CHURCH AVE, BROOKLYN, NY 11218-2711
(718) 469-6077
(718) 462-1785
Mailing address
1025 CHURCH AVE, BROOKLYN, NY 11218-2711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052274
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02694306
—
NY
Enumeration date
04/10/2007
Last updated
07/08/2007
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