Individual
DR. JORGE L PANTOJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
86 W 183RD ST, DENTAL OFFICE, BRONX, NY 10453-1212
(718) 367-4222
Mailing address
170 E MOSHOLU PKWY S APT 7B, BRONX, NY 10458-1182
(787) 453-9256
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
058516
NY
Other
Enumeration date
04/03/2015
Last updated
01/30/2017
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