Individual
DR. JEREMY DAVID KAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1601 WALNUT ST STE 704, PHILADELPHIA, PA 19102-2904
(561) 445-4998
Mailing address
1601 WALNUT ST, SUITE 704, PHILADELPHIA, PA 19102
(561) 445-4998
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
056846-1
NY
1223G0001X
General Practice Dentistry
DN 19914
FL
1223P0700X
Prosthodontics
Primary
DS041061
PA
Other
Enumeration date
09/05/2012
Last updated
07/13/2017
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