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1861771743
TAL ETHAN MASSERMAN
BRONX, NY
NPI
1861771743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2011-08-10
Last Update Date
2011-08-10
Business Address
Dr. TAL ETHAN MASSERMAN D.D.S.
3332 ROCHAMBEAU AVE MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Phone number: 949-233-0387
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Mailing Address
Dr. TAL ETHAN MASSERMAN D.D.S.
312 E 85TH ST APT. 3C
NEW YORK, NY 10028-4569
Phone number: 949-233-0387
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