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Organization

JEFFERSON VALLEY DENTAL ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE RAFAEL LUGAY DMD (PRESIDENT)
(914) 245-4760
Entity
Organization

Contact information

Practice address
3654 LEE RD, JEFFERSON VALLEY, NY 10535
(914) 245-4760
(914) 243-9861
Mailing address
P.O. BOX 489, JEFFERSON VALLEY, NY 10535
(914) 245-4760
(914) 243-9861

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
044.672
NY
1223G0001X
General Practice Dentistry
Primary
045330
NY

Other

Enumeration date
03/27/2009
Last updated
03/27/2009
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