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Individual

DIVYANA HASMUKHLAL GOVIND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
409 FULTON ST FL 2, BROOKLYN, NY 11201-5103
(718) 260-9293
(718) 260-9484
Mailing address
235 W 22ND ST APT 3B, NEW YORK, NY 10011-2759
(917) 287-6441

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050338
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02374587
NY
Enumeration date
04/06/2007
Last updated
10/23/2008
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