Individual
SANTVANA VYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6020 BROADWAY, FL#2, WEST NEW YORK, NJ 07093
(484) 548-4687
Mailing address
6020 BROADWAY, FL#2, WEST NEW YORK, NJ 07093
(484) 548-4687
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
060838-01
NY
122300000X
Dentist
Primary
22DI02767700
NJ
Other
Enumeration date
07/22/2019
Last updated
11/06/2019
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