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1669200820
CHANELLE MARIE HOLDER
STATEN ISLAND, NY
NPI
1669200820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: CT 14166)
Enumeration Date
2024-07-22
Last Update Date
2024-07-22
Business Address
Dr. CHANELLE MARIE HOLDER DMD
2109 VICTORY BLVD
STATEN ISLAND, NY 10314-6601
Phone number: 718-494-1300
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Mailing Address
Dr. CHANELLE MARIE HOLDER DMD
420 E 54TH ST APT 307
NEW YORK, NY 10022-5297
Phone number: 347-969-1250
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