Organization
DR. JAY FENSTERSTOCK DDS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY FENSTERSTOCK DDS (OWNER)
(718) 652-7370
Entity
Organization
Contact information
Practice address
55 E MOSHOLU PKWY N, BRONX, NY 10467-2625
(718) 652-7370
(718) 882-5650
Mailing address
55 E MOSHOLU PKWY N, BRONX, NY 10467-2625
(718) 652-7370
(718) 882-5650
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
07/29/2006
Last updated
09/29/2009
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