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1538130091
PATRIA IRIS REYNOSO
JACKSON HEIGHTS, NY
NPI
1538130091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 046560-1)
Enumeration Date
2006-01-31
Last Update Date
2007-07-08
Business Address
-- PATRIA IRIS REYNOSO DDS
9506 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372-8029
Phone number: 718-507-9100
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Mailing Address
-- PATRIA IRIS REYNOSO DDS
9506 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372-8029
Phone number: 718-507-9100
Copy
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