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1942298062
JEFFREY MARK WALTERS
AMITYVILLE, NY
NPI
1942298062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 028643)
Enumeration Date
2005-10-12
Last Update Date
2007-07-08
Business Address
Dr. JEFFREY MARK WALTERS dmd
116 BROADWAY
AMITYVILLE, NY 11701-2797
Phone number: 631-264-2610
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Mailing Address
Dr. JEFFREY MARK WALTERS dmd
881 GARDINER DR
BAY SHORE, NY 11706-7602
Phone number: 631-666-6367
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