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Organization
SPORE TEST INC
Active
Organization
SPORE TEST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO LEONEL WILLIAMS (OWNER)
(917) 335-3722
Entity
Organization
Contact information
Practice address
1624 UNIVERSITY AVE APT 2B, BRONX, NY 10453-6950
(718) 294-3725
Mailing address
1624 UNIVERSITY AVE, BRONX, NY 10453-6948
(718) 294-3725
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
03/13/2024
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