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Organization

JR NY DENTAL PC

Active
Parent organization
JR NY DENTAL PC
Other names
HENRY The Dentist
Organization subpart
Yes

Provider details

NPI number
Legal business name
JR NY DENTAL PC
Authorized official
DR. JEFFREY BEN RAPPAPORT DDS (OWNER/DENTAL DIRECTOR)
(551) 999-2226
Entity
Organization

Contact information

Practice address
1196 LEXINGTON AVE, NEW YORK, NY 10028-1405
(551) 999-2226
(908) 926-2636
Mailing address
890 MOUNTAIN AVE STE 310, NEW PROVIDENCE, NJ 07974-1240
(551) 999-2226
(908) 926-2636

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
09/20/2019
Last updated
09/20/2019
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