Individual
JOSE DUVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
461 FORT WASHINGTON AVE APT 1, NEW YORK, NY 10033-4632
(212) 568-1003
Mailing address
461 FORT WASHINGTON AVE APT 1, NEW YORK, NY 10033-4632
(212) 568-1003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052543
NY
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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