Individual
DR. JENNIFER F JOHN-BORDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9050 FRANCIS LEWIS BLVD, QUEENS VILLAGE, NY 11428-1069
(718) 740-4700
(718) 740-4716
Mailing address
11 BIRCHWOOD DR N, VALLEY STREAM, NY 11580-1905
(516) 872-4052
(516) 872-2739
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040626-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02120065
—
NY
Enumeration date
03/03/2007
Last updated
07/08/2007
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