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Individual

DR. JAYESH H TRIVEDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
13406 ROCKAWAY BLVD, JAMAICA, NY 11420-3021
(718) 529-3300
(718) 529-9043
Mailing address
13404 ROCKAWAY BLVD, JAMAICA, NY 11420-3021
(718) 529-3300
(718) 529-9043

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
032050
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00294179
NY
Enumeration date
11/18/2005
Last updated
07/28/2014
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