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1912413170
LORETA GENEVICIUTE
PORT JEFFERSON, NY
NPI
1912413170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 059543)
Enumeration Date
2017-12-22
Last Update Date
2017-12-22
Business Address
LORETA GENEVICIUTE DDS
714 MAIN ST
PORT JEFFERSON, NY 11777-2223
Phone number: 631-473-0582
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Mailing Address
LORETA GENEVICIUTE DDS
415 E 37TH ST APT 36K
NEW YORK, NY 10016-0139
Phone number: 929-284-9277
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