Individual
DR. JORDANA DIANE SMALLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
330 WINTHROP ST, FIRST FLOOR, WESTBURY, NY 11590-3388
(516) 997-3636
Mailing address
330 WINTHROP ST, 1ST FLOOR, WESTBURY, NY 11590-3388
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053021
NY
1223G0001X
General Practice Dentistry
053021
NY
Other
Enumeration date
07/14/2007
Last updated
05/03/2022
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