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Organization
RYE DENTISTRY PLLC
Active
Organization
RYE DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY LAWRENCE STATMAN DMD (OWNER)
(914) 967-0707
Entity
Organization
Contact information
Practice address
105 THEODORE FREMD AVE, RYE, NY 10580
(914) 967-0707
(914) 967-3411
Mailing address
105-107 THEODORE FREMD AVE, RYE, NY 10580
(914) 967-0707
(914) 967-3411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054238
NY
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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