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1295072973
ADMASU N GIZACHEW
BRICK, NJ
NPI
1295072973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NJ 22DI02524100)
Enumeration Date
2013-01-14
Last Update Date
2018-11-06
Business Address
Dr. ADMASU N GIZACHEW
1683 ROUTE 88 STE C
BRICK, NJ 08724-3072
Phone number: 347-455-1108
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Mailing Address
Dr. ADMASU N GIZACHEW
4720 CENTER BLVD SUITE 1902
LONG ISLAND CITY, NY 11109-5619
Phone number: 231-580-9205
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