| NPI | 1598860199 |
|---|---|
| Other Name | JESSE NOAH SCHAFFZIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16841) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS036477) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-05 |