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Organization

D.R.P. DENTAL INDUSTRIES, INC,

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE ARISTIDES ROA D.D.S. (PRESIDENT)
(718) 476-1573
Entity
Organization

Contact information

Practice address
4071 DENMAN ST, ELMHURST, NY 11373-1608
(718) 476-1573
(718) 478-2485
Mailing address
4071 DENMAN ST, ELMHURST, NY 11373-1608
(718) 476-1573
(718) 478-2485

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
044819
NY

Other

Enumeration date
09/30/2008
Last updated
01/30/2012
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