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Organization
RICHMOND HILL FAMILY DENTAL PC
Active
Organization
RICHMOND HILL FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA JOLLY DMD (OWNER)
(504) 669-1304
Entity
Organization
Contact information
Practice address
114-7 101ST AVE, RICHMOND HILL, NY 11419
(718) 805-1358
Mailing address
114-7 101ST AVE, RICHMOND HILL, NY 11419
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
056262
NY
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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