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1184885717
JEFFERY A. DEROSE
NIAGARA FALLS, NY
NPI
1184885717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 052933)
Enumeration Date
2008-06-17
Last Update Date
2008-06-17
Business Address
Dr. JEFFERY A. DEROSE DDS
2145 LANCELOT DR
NIAGARA FALLS, NY 14304-3093
Phone number: 716-298-3567
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Mailing Address
Dr. JEFFERY A. DEROSE DDS
2145 LANCELOT DR
NIAGARA FALLS, NY 14304-3093
Phone number: 716-298-3567
Copy
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