Organization
K. JAYADEVAN DDS PC
Active
Other names
Moriches Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISHNASWAMY JAYADEVAN DDS (OWNER)
(631) 874-4707
Entity
Organization
Contact information
Practice address
760 MONTAUK HWY, SUITE 6, CENTER MORICHES, NY 11934-2230
(631) 874-4707
(631) 874-4720
Mailing address
760 MONTAUK HWY, SUITE 6, CENTER MORICHES, NY 11934-2230
(631) 874-4707
(631) 874-4720
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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