Individual
DR. JONATHAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
501 MADISON AVE, NEW YORK, NY 10022-5602
(212) 758-9690
(212) 838-1137
Mailing address
501 MADISON AVE, NEW YORK, NY 10022-5602
(212) 758-9690
(212) 838-1137
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
034632
NY
Other
Enumeration date
01/14/2012
Last updated
01/14/2012
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