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1376942292
ELLIOT LUTZ
FRESH MEADOWS, NY
NPI
1376942292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 057524)
Enumeration Date
2014-08-15
Last Update Date
2014-08-15
Business Address
-- ELLIOT LUTZ
15910 71ST AVE APT 3H
FRESH MEADOWS, NY 11365-3024
Phone number: 347-244-2914
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Mailing Address
-- ELLIOT LUTZ
15910 71ST AVE APT 3H
FRESH MEADOWS, NY 11365-3024
Phone number:
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