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DR. GEORGE FREDERICK RAYMOND III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
345 E. 24TH ST., N.Y., NY 10010
(212) 998-9800
(212) 998-9801
Mailing address
289 E 149TH ST, 2ND FLOOR, BRONX, NY 10451-5601
(718) 742-7400
(914) 243-5821

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050432
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02439307
NY
Enumeration date
10/22/2005
Last updated
12/10/2024
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