Most Relevant Information
Provider Data
| NPI Number: | 1003827916 |
| Provider Name: | RONALD DAVID MIZRAHI DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223X0400X |
| Specialty: | Dentist |
| License Number: | 040858-1 |
Most Important Dates
| Enumeration Date: | 08/10/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
372 AVENUE U
2ND FLOOR
BROOKLYN
NY
112234033
Practice Location Phone/Fax
| Phone: | 7189985100 |
| Fax: | 7183820201 |
Provider Mailing Location
372 AVENUE U
2ND FLOOR
BROOKLYN
NY
112234033
Provider Mailing Phone/Fax
| Phone: | 7189985100 |
| Fax: | 7183820201 |