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Organization

JACOB E. ORBACH DDS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACOB E. ORBACH DDS (PRESIDENT)
(718) 551-4037
Entity
Organization

Contact information

Practice address
15020 71ST AVE, APT. 3C, FLUSHING, NY 11367-2147
(718) 551-4037
Mailing address
15020 71ST AVE, APT. 3C, FLUSHING, NY 11367-2147
(718) 551-4037

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051503
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02567297
NY
Enumeration date
12/24/2007
Last updated
12/24/2007
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