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1790816551
JORGE ALBERTO ANDRADE
PORT WASHINGTON, NY
NPI
1790816551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 045879-1)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
Dr. JORGE ALBERTO ANDRADE D.D.S.
535 PORT WASHINGTON BLVD
PORT WASHINGTON, NY 11050-4217
Phone number: 516-883-3400
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Mailing Address
Dr. JORGE ALBERTO ANDRADE D.D.S.
66 MINEOLA AVE
ROSLYN, NY 11576-2002
Phone number: 516-484-3937
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