Organization
JB DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARONE RACHAL MARCUS (PRACTICE MANAGER)
(917) 968-7023
Entity
Organization
Contact information
Practice address
3410 BROADWAY, 2ND FLOOR, NEW YORK, NY 10031-7400
(212) 283-7670
(212) 283-7832
Mailing address
3410 BROADWAY, 2ND FLOOR, NEW YORK, NY 10031-7400
(212) 283-7670
(212) 283-7832
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036193
NY
1223G0001X
General Practice Dentistry
051014
NY
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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