Individual
DR. DEEBA CARVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(348) 861-6130
Mailing address
647 2ND AVE APT 4C, NEW YORK, NY 10016-4266
(347) 863-6130
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061398
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2019
Last updated
04/26/2024
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