Organization
AMARILIS JACOBO DENTAL OFFICE PC
Active
Parent organization
AMARILIS JACOBO DENTAL OFFICE PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMARILIS JACOBO DENTAL OFFICE PC
Authorized official
AMARILIS JACOBO DDS (DENTIST)
(212) 678-1944
Entity
Organization
Contact information
Practice address
131 W 110TH ST, SUITE 1D, NEW YORK, NY 10026-4202
(212) 678-1944
(212) 666-6857
Mailing address
131 W 110TH ST, SUITE 1D, NEW YORK, NY 10026-4202
(212) 678-1944
(212) 666-6857
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0455771
NY
Other
Enumeration date
10/09/2008
Last updated
07/07/2021
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