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Individual

JACOB ROIT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
21 W MERRICK RD, UNIT 1, FREEPORT, NY 11520-3826
(516) 378-2843
(516) 771-8877
Mailing address
21 W MERRICK RD, UNIT 1, FREEPORT, NY 11520-3826
(516) 378-2843
(516) 771-8877

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0038330
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00824424
NY
Enumeration date
02/06/2006
Last updated
07/09/2007
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