Individual
CEDRIC LEON DENT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201A E 124TH ST, NEW YORK, NY 10035-2039
(212) 831-5020
Mailing address
201A E 124TH ST, NEW YORK, NY 10035-2039
(212) 831-5020
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
125719
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366728420
—
LA
Enumeration date
12/04/2019
Last updated
11/21/2024
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