Individual
JEFFREY WEISBORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10420 QUEENS BLVD STE 1G, FOREST HILLS, NY 11375-8149
(347) 566-1392
Mailing address
20 CONTINENTAL AVE APT 4G, FOREST HILLS, NY 11375-5224
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060610
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2018
Last updated
09/12/2020
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