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Individual

DR. JUSTIN TODD RASHBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1410 BROADWAY, SUITE 3004, NEW YORK, NY 10018-5007
(212) 391-1385
(212) 391-8540
Mailing address
1410 BROADWAY RM 3004, NEW YORK, NY 10018-5030
(201) 259-5273

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054478
NY

Other

Enumeration date
12/11/2008
Last updated
03/26/2013
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