Individual
DR. JEAN MARIE SANJURJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1313 CLOVE RD, STATEN ISLAND, NY 10301-4338
(718) 273-1101
Mailing address
290 SUMMIT AVE, SUMMIT, NJ 07901-2207
(917) 716-7812
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
084010512
NY
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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