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Ebbie Boutehsaz
NPI 1568869501 · on the registry since 2014
Practice
- Address
- 3310 Bainbridge Ave
Bronx, NY 10467 - Phone
- (718) 654-3456
- Organisation at this address
- Your Bronx Dentist
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 760 Broadway, Brooklyn, NY
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York