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Organization
ROOSEVELT DENTAL CARE P.C.
Active
Organization
ROOSEVELT DENTAL CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OFIR BARUK D.D.S. (PRESIDENT)
(718) 205-7709
Entity
Organization
Contact information
Practice address
8215 ROOSEVELT AVE, 2ND FLOOR, JACKSON HEIGHTS, NY 11372-7034
(718) 205-7709
(718) 205-7718
Mailing address
8215 ROOSEVELT AVE, 2ND FLOOR, JACKSON HEIGHTS, NY 11372-7034
(718) 205-7709
(718) 205-7718
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02834724
—
NY
Enumeration date
07/25/2007
Last updated
07/25/2007
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