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Organization
WOODHAVEN JAMAICA ORTHODONTICS PLLC
Active
Organization
WOODHAVEN JAMAICA ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA PITKOUVICH (OFFICE COORDINATOR)
(917) 391-8000
Entity
Organization
Contact information
Practice address
2954 HEMPSTEAD TPKE, LEVITTOWN, NY 11756-1343
(917) 391-8000
Mailing address
2954 HEMPSTEAD TPKE, LEVITTOWN, NY 11756-1343
(917) 391-8000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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