| Jb Dental Pc | |
|
3410 Broadway 2nd Floor New York NY 10031-7400 | |
| (212) 283-7670 | |
| (212) 283-7832 |
| Full Name | Jb Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3410 Broadway, New York, New York |
| Authorized Official Name and Position | Sharone Rachal Marcus (PRACTICE MANAGER) |
| Authorized Official Contact | 9179687023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jb Dental Pc 3410 Broadway 2nd Floor New York NY 10031-7400 Ph: (212) 283-7670 | Jb Dental Pc 3410 Broadway 2nd Floor New York NY 10031-7400 Ph: (212) 283-7670 |
| NPI Number | 1053582106 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053582106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 036193 (New York) | Primary |
| 1223G0001X | Dentist - General Practice | 051014 (New York) | Secondary |
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