Organization
JUVAL SPECTOR DDS
Active
Other names
Signature Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (SR CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
55 NORTHERN BLVD STE 101, GREAT NECK, NY 11021-4058
(516) 487-2022
Mailing address
55 NORTHERN BLVD STE 101, GREAT NECK, NY 11021-4058
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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