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1265735930
JUANITA AVENA LOO
NEW YORK, NY
NPI
1265735930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 043708-1)
Enumeration Date
2010-12-17
Last Update Date
2010-12-17
Business Address
-- JUANITA AVENA LOO
51 E 42ND ST
NEW YORK, NY 10017-5404
Phone number: 212-856-9465
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Mailing Address
-- JUANITA AVENA LOO
51 E 42ND ST
NEW YORK, NY 10017-5404
Phone number:
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