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1235122821
JAY WILLIAM BRIDBORD
MANHASSET, NY
NPI
1235122821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist Oral and Maxillofacial Surgery
(Licence: NY 30000)
Enumeration Date
2005-08-29
Last Update Date
2007-07-08
Business Address
DR. JAY WILLIAM BRIDBORD D.D.S.
2110 NORTHERN BLVD
MANHASSET, NY 11030-3502
Phone number: 516-627-7640
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Mailing Address
DR. JAY WILLIAM BRIDBORD D.D.S.
65 COOPER DR
GREAT NECK, NY 11023-1908
Phone number: 516-627-7640
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