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Organization
PRAISE THE LORD DENTAL,P.C.
Active
Organization
PRAISE THE LORD DENTAL,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACINTO ALONZO MARTINEZ DDS (OWNER)
(212) 866-1313
Entity
Organization
Contact information
Practice address
122 LA SALLE ST, NEW YORK, NY 10027-4625
(212) 866-1313
(212) 866-2061
Mailing address
122 LA SALLE ST, NEW YORK, NY 10027-4625
(212) 866-1313
(212) 866-2061
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046959
NY
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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