Individual
DR. JARED BRETT SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
30 CENTRAL PARK SOUTH, STE 3B, NEW YORK, NY 10019
(212) 832-0808
(212) 832-0347
Mailing address
30 CENTRAL PARK SOUTH, STE 3B, NEW YORK, NY 10019
(212) 832-0808
(212) 832-0347
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047815
NY
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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