Jacob A. Avner, DDS PC

NPI #1114398807 in Rego Park, New York

Provider Information

NPI Number: 1114398807
Entity Type: Organization
Organization Name: Jacob A. Avner, DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 7, 2015
Last Updated: Oct 7, 2015

Practice Location

Address: 9725 64TH AVE
Address 2: UNIT: G-3
City: Rego Park
State: New York
ZIP Code: 11374-2236
Phone: (718) 275-7300

Authorized Official

Name: DR. JACOB AVNER, DDS
Title: DENTIST/OWNER
Phone: (718) 275-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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