Jurim Dental Group

NPI #1164877288 in Woodbury, New York

Provider Information

NPI Number: 1164877288
Entity Type: Organization
Organization Name: Jurim Dental Group
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 26, 2016
Last Updated: Apr 26, 2016

Practice Location

Address: 370 CROSSWAYS PARK DR
City: Woodbury
State: New York
ZIP Code: 11797-2050
Phone: (516) 677-9010

Authorized Official

Name: ADAM RICHICHI
Title: CHIEF OPERATING OFFICER
Phone: (516) 677-9010

Specialties & Taxonomy Codes

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

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