Stacey Brande Losman, DMD

NPI #1740542315 in Airmont, New York

Provider Information

NPI Number: 1740542315
Entity Type: Individual
Name: Stacey Brande Losman, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 11, 2012
Last Updated: Jun 11, 2012

Practice Location

Address: 404 ROUTE 59
City: Airmont
State: New York
ZIP Code: 10952-3429
Phone: (845) 893-5633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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