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1891214995
CLARISA AMARILLAS GASTELUM
STONY BROOK, NY
NPI
1891214995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 000083)
Enumeration Date
2017-09-11
Last Update Date
2017-09-11
Business Address
CLARISA AMARILLAS GASTELUM DDS,MS
STONY BROOK SCHOOL OF DENTAL MEDICINE SOUTH DRIVE
STONY BROOK, NY 11794-0001
Phone number: 631-632-8631
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Mailing Address
CLARISA AMARILLAS GASTELUM DDS,MS
127 WESTCHESTER HALL
STONY BROOK, NY 11794-8705
Phone number: 631-632-8631
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