Individual
DR. GILA JEDWAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
360 CENTRAL AVE, SUITE 112, LAWRENCE, NY 11559
(516) 295-9203
Mailing address
400 WESTMINSTER RD, CEDARHURST, NY 11516-1128
(516) 569-2957
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0498581
NY
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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