Individual
DR. DESPINA DALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3742 90 ST 1ST FLR, JACKSON HEIGHTS, NY 11372
(718) 424-5559
(718) 426-2484
Mailing address
2007 27TH ST, ASTORIA, NY 11105
(718) 626-3798
(718) 274-8442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052652
NY
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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