Organization
JEFFERSON DENTAL HEALTH P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIRMAL SINGH AUJLA D.D.S. (PRESIDENT)
(315) 788-7070
Entity
Organization
Contact information
Practice address
1304 WASHINGTON ST, WATERTOWN, NY 13601-4500
(315) 788-7070
(315) 788-6927
Mailing address
1304 WASHINGTON ST, WATERTOWN, NY 13601-4500
(315) 788-7070
(315) 788-6927
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049795
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02255301
—
NY
Enumeration date
12/01/2006
Last updated
08/22/2020
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