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1679534895
JAVIER A SAMUDIO
FAR ROCKAWAY, NY
NPI
1679534895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 044530)
Enumeration Date
2006-03-29
Last Update Date
2012-10-02
Business Address
-- JAVIER A SAMUDIO DDS
1847 MOTT AVE FL 2
FAR ROCKAWAY, NY 11691-4201
Phone number: 718-327-7000
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Mailing Address
-- JAVIER A SAMUDIO DDS
3571 BUNKER AVE
WANTAGH, NY 11793-3438
Phone number: 516-765-3467
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