Individual
DR. GREGORY O. DEJEAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS (PEDIATRIC DENT)
Contact information
Practice address
345 E 24TH ST, ATTN: PEDIATRIC DENTISTRY DEPT., NYC, NY 10010-4020
(212) 998-9657
(212) 995-4242
Mailing address
161 E 90TH ST, # 3A, NYC, NY 10128-2342
(212) 996-2550
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
045705-1
NY
Other
Enumeration date
01/03/2006
Last updated
07/08/2007
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