Individual
JAMES DAMASCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(248) 252-6623
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(248) 252-6623
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061313
NY
Other
Enumeration date
05/17/2019
Last updated
03/23/2021
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