Organization
JEFFERSON DENTAL SERVICES,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIRMAL SINGH AUJLA DDS (PRESIDENT & DENTIST)
(315) 699-9800
Entity
Organization
Contact information
Practice address
8397 BREWERTON RD (US ROUTE 11), CICERO, NY 13039
(315) 699-9800
(315) 699-2736
Mailing address
8397 BREWERTON RD (US ROUTE 11), CICERO, NY 13039
(315) 699-9800
(315) 699-2736
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049795
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02255301
—
NY
Enumeration date
03/13/2007
Last updated
08/22/2020
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