Individual
JARRETT BRIAN TURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3973 61ST ST, WOODSIDE, NY 11377-3554
(718) 429-5656
Mailing address
10 ELAINE PL, PLAINVIEW, NY 11803-3936
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
042378-1
NY
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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