JONATHAN HERBERT DERLATH

STONY BROOK, NY
NPI1699234187
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-14
Last Update Date2019-03-14
Business Address
Dr. JONATHAN HERBERT DERLATH DMD
151 WESTCHESTER HALL
STONY BROOK, NY 11794-8711
Phone number: 631-444-2557
Mailing Address
Dr. JONATHAN HERBERT DERLATH DMD
151 WESTCHESTER HALL
STONY BROOK, NY 11794-8711
Phone number: 631-444-2557
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