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1538381330
CHARLOTTE MARIE KOOISTRA
BROOKLYN, NY
NPI
1538381330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 038912)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Dr. CHARLOTTE MARIE KOOISTRA DDS
424 LEONARD ST JHS 126
BROOKLYN, NY 11222
Phone number: 718-782-2527
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Mailing Address
Dr. CHARLOTTE MARIE KOOISTRA DDS
24-40 27 ST #3A
ASTORIA, NY 11102-2312
Phone number: 718-728-6657
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