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1316935497
REVADEE SONGSAKPHISARN
JERSEY CITY, NJ
NPI
1316935497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NJ 19085)
Enumeration Date
2005-10-12
Last Update Date
2007-07-09
Business Address
-- REVADEE SONGSAKPHISARN DDS
846 BERGEN AVE
JERSEY CITY, NJ 07306-4404
Phone number: 201-946-1000
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Mailing Address
-- REVADEE SONGSAKPHISARN DDS
846 BERGEN AVE
JERSEY CITY, NJ 07306-4404
Phone number: 201-946-1000
Copy
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