EDOUARD ETLIS

BROOKLYN, NY
NPI1013937416
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  047627)
Enumeration Date2006-07-20
Last Update Date2007-07-08
Business Address
-- EDOUARD ETLIS dds
3030 OCEAN AVE SUITE AA
BROOKLYN, NY 11235-3363
Phone number: 718-769-5379
Mailing Address
-- EDOUARD ETLIS dds
3030 OCEAN AVE SUITE AA
BROOKLYN, NY 11235-3363
Phone number: 718-769-5379