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1427122753
JOAN SO
STATEN ISLAND, NY
NPI
1427122753
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Former Name
JOAN RAMANAUSKAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 0414461)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
-- JOAN SO DMD
4350 HYLAN BLVD
STATEN ISLAND, NY 10312
Phone number: 718-317-7211
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Mailing Address
-- JOAN SO DMD
1379 HUGUENOT AVE
STATEN ISLAND, NY 10312
Phone number: 646-226-9750
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