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1538441993
TERRY BRUCE MOPPER
STATEN ISLAND, NY
NPI
1538441993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 29636)
Enumeration Date
2011-09-12
Last Update Date
2011-09-12
Business Address
Mr. TERRY BRUCE MOPPER DDS
322 GRASMERE DR
STATEN ISLAND, NY 10305-2848
Phone number: 718-442-4680
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Mailing Address
Mr. TERRY BRUCE MOPPER DDS
322 GRASMERE DR
STATEN ISLAND, NY 10305-2848
Phone number: 718-442-4680
Copy
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