Individual
DR. JONATHAN LEE GOLDENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
240 CENTRAL PARK S, SUITE 2Q, NEW YORK, NY 10019-1457
(212) 265-3455
Mailing address
240 CENTRAL PARK S, SUITE 2Q, NEW YORK, NY 10019-1457
(212) 265-3455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
038562
NY
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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