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1619951647
JAN A KHORSANDI
STATEN ISLAND, NY
NPI
1619951647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 051098L)
Enumeration Date
2005-12-02
Last Update Date
2007-07-08
Business Address
Dr. JAN A KHORSANDI DMD PC
1874 CLOVE RD
STATEN ISLAND, NY 10304-1637
Phone number: 718-273-0212
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Mailing Address
Dr. JAN A KHORSANDI DMD PC
1874 CLOVE RD
STATEN ISLAND, NY 10304-1637
Phone number: 718-273-0212
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