Individual
JAIME BREMNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 FRANKLIN AVE STE 126, GARDEN CITY, NY 11530-5876
(516) 728-3562
Mailing address
25 KENSINGTON RD, GARDEN CITY, NY 11530-4240
(516) 728-3562
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054015
NY
Other
Enumeration date
10/10/2011
Last updated
04/07/2016
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