Organization
DYNAMIC DENTAL WORLD P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER ESPINAL (BILLING DEPARTMENT)
(718) 739-0900
Entity
Organization
Contact information
Practice address
8961 165TH ST, JAMAICA, NY 11432-5143
(718) 657-5656
(718) 739-0900
Mailing address
8961 165TH ST, JAMAICA, NY 11432-5143
(718) 657-5656
(718) 739-0900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
038476-1
NY
122300000X
Dentist
Primary
046075-1
NY
122300000X
Dentist
054990-1
NY
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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