Dr. Jaime R. Bodner, D.D.S.
Dentist, General Practice in Valley Stream, NY. Individual provider (NPI-1).
NPI number1669523973
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1669523973
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jaime R. Bodner
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 15, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 033396-1 | NY | Yes |
Practice location
45 Rockaway PkwyValley Stream, NY 11580-4525
Phone 516-825-1261
Mailing address
45 Rockaway PkwyValley Stream, NY 11580-4525
Phone 516-825-1261
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- Alevtina I Edgar, D.D.SNPI 1285982645
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All 30 General Practice Dentistry providers in Valley Stream · All 2,560 providers in Valley Stream
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