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1366639007
ARIEL BALES-KOGAN
ELMHURST, NY
NPI
1366639007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: NY 055373)
Enumeration Date
2007-09-26
Last Update Date
2013-04-25
Business Address
Mr. ARIEL BALES-KOGAN DMD
79-11 41ST AVE UNIT A107
ELMHURST, NY 11373
Phone number: 718-205-2888
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Mailing Address
Mr. ARIEL BALES-KOGAN DMD
305 W 150TH ST APT 701
NEW YORK, NY 10039-2225
Phone number: 617-319-4180
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