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1780893081
BRIAN KEITH TANZ
NEW YORK, NY
NPI
1780893081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: NY 041114)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
Mr. BRIAN KEITH TANZ DDS
210 E 68TH ST SUITE 1-E
NEW YORK, NY 10021-6047
Phone number: 212-879-2277
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Mailing Address
Mr. BRIAN KEITH TANZ DDS
POB 16531769
SIOUX FALLS, SD 57186
Phone number: 212-879-2277
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