Individual
DR. JESSICA KAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
425 N. ST RD #1, BRIARCLIFF MANOR, NY 10510
(561) 543-4023
Mailing address
401 E. 89TH ST 1K, NEW YORK, NY 10128
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058050
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2014
Last updated
01/24/2024
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