Individual
DR. JACQUELINE J SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
120 ALCOTT PL, GROUND FLOOR, BRONX, NY 10475-4201
(718) 320-3181
(718) 320-3181
Mailing address
120 ALCOTT PL, GROUND FLOOR, BRONX, NY 10475-4201
(718) 320-3181
(718) 320-3181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048186
NY
Other
Enumeration date
11/07/2005
Last updated
07/08/2007
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