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1619967379
JORGE MENDIETA
NEW YORK, NY
NPI
1619967379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 043265-1)
Enumeration Date
2005-10-25
Last Update Date
2007-07-08
Business Address
Dr. JORGE MENDIETA D.D.S.
CAS/MILBANK MEDICAL GROUP 14-32 WEST 118 STREET
NEW YORK, NY 10026-1904
Phone number: 212-369-8339
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Mailing Address
Dr. JORGE MENDIETA D.D.S.
2000 BROADWAY #16-G
NEW YORK, NY 10023-5028
Phone number: 212-496-5090
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