Jaime R. Bodner D.D.S.

NPI 1669523973 - Dentist - 1223G0001X

NPI Details
NPI 1669523973
Gender Male
Enumeration Date 01/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
45 ROCKAWAY PKWY
VALLEY STREAM NY, 11580-4525, US
Phone (516) 825-1261
Fax
Business Location
45 ROCKAWAY PKWY
VALLEY STREAM NY, 11580-4525, US
Phone (516) 825-1261
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 033396-1
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According to our database, Dr. Jaime R. Bodner D.D.S. NPI is 1669523973, taxonomy code is 1223G0001X and license number is 033396-1, license state is located at New York. Jaime R. Bodner D.D.S. physically located at 45 Rockaway Pkwy, Valley Stream NY, 11580-4525. NPI Number Jaime R. Bodner D.D.S. has the Individual type.

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1669523973 NPI number is provided on an as is basis without warranty of any kind. 1669523973 is maintained by the National Plan & Provider Enumeration System. The contents of Jaime R. Bodner D.D.S. are for informational purposes only.