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Individual

JEFFERY HOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
351 92ND ST, 2B, BROOKLYN, NY 11209-6352
(415) 823-3093
(415) 823-3093
Mailing address
13-17 ELIZABETH STREET, SUITE 510, NEW YORK, NY 10013
(530) 246-5710
(530) 241-7838

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS50271
CA

Other

Enumeration date
08/14/2006
Last updated
01/30/2009
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