Individual
DR. MICHELANGELO JAVIER SAN JUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 GUSTAVE L LEVY PL FL 12, NEW YORK, NY 10029-6574
(212) 241-0300
Mailing address
1 GUSTAVE L LEVY PL FL 12, NEW YORK, NY 10029-6574
(212) 241-0300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
065018
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/05/2024
Last updated
09/29/2025
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