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Individual

DR. BADRUD DUJA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
16820 JAMAICA AVE, JAMAICA, JAMAICA, NY 11432-5216
(718) 523-0060
Mailing address
11 LIPTON LN, WILLISTON PARK, WILLISTON PARK, NY 11596-1523
(516) 742-2559

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
034127
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00818451
NY
Enumeration date
02/20/2007
Last updated
07/09/2007
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