EBBIE BOUTEHSAZ

BRONX, NY
NPI1568869501
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  058225-1)
Enumeration Date2014-11-19
Last Update Date2018-11-14
Business Address
EBBIE BOUTEHSAZ
3310 BAINBRIDGE AVE
BRONX, NY 10467
Phone number: 718-654-3456
Mailing Address
EBBIE BOUTEHSAZ
3310 BAINBRIDGE AVE
BRONX, NY 10467-2856
Phone number: 718-654-3456
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