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1720100837
LEON BASS
JAMAICA, NY
NPI
1720100837
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 050924)
Enumeration Date
2007-04-06
Last Update Date
2014-02-05
Business Address
-- LEON BASS DMD
18622 AVON RD
JAMAICA, NY 11432-5823
Phone number: 917-892-3628
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Mailing Address
-- LEON BASS DMD
18622 AVON RD
JAMAICA, NY 11432-5823
Phone number: 917-892-3628
Copy
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