Individual
DR. MANOJ JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
819 S SALINA ST, SYRACUSE, NY 13202-3527
(315) 476-7921
Mailing address
819 S SALINA ST, SYRACUSE, NY 13202-3527
(315) 476-7921
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
059076
NY
Other
Enumeration date
07/08/2015
Last updated
03/07/2018
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