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Individual

DR. JOHN ROE DENTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15211 89TH AVE, JAMAICA, NY 11432-3730
(718) 558-7239
Mailing address
1333A NORTH AVE PMB 434, NEW ROCHELLE, NY 10804-2120
(914) 637-8602

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
102038
NY

Other

Enumeration date
02/22/2007
Last updated
07/08/2007
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