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1063648392
BENJAMIN BANNEKER SHIRLEY
JAMAICA, NY
NPI
1063648392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 054338)
Enumeration Date
2009-06-01
Last Update Date
2009-06-01
Business Address
Dr. BENJAMIN BANNEKER SHIRLEY dds
16819 HILLSIDE AVE
JAMAICA, NY 11432-4340
Phone number: 718-291-1420
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Mailing Address
Dr. BENJAMIN BANNEKER SHIRLEY dds
16819 HILLSIDE AVE
JAMAICA, NY 11432-4340
Phone number: 718-206-1420
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