Individual
JOANA COMPERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
565 W 125TH ST, NEW YORK, NY 10027-3424
(212) 470-1001
Mailing address
99 JOHN ST APT 222, NEW YORK, NY 10038-2902
(862) 368-4416
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0599321
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/23/2017
Last updated
10/09/2018
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