Individual
JORGE ENRIQUE COLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MPH
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
AVE. ESMERALDA A-1, ESQ. ARPEGIO, URB. HIGHLAND GARDENS, GUAYNABO, PR 00969
(787) 789-6400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3557
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2024
Last updated
04/08/2026
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