Organization
JONATHAN FREED, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN FREED D.D.S (PRESIDENT)
(561) 400-1819
Entity
Organization
Contact information
Practice address
315 MADISON AVE, #508, NEW YORK, NY 10017-5405
(561) 400-1819
Mailing address
315 MADISON AVE, #508, NEW YORK, NY 10017-5405
(561) 400-1819
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051579-1
NY
Other
Enumeration date
01/08/2014
Last updated
01/29/2014
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