Individual
DR. KIARASH YEGANEGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
3903 BREWERTON RD, NORTH SYRACUSE, NY 13212-3704
(315) 999-3636
(315) 999-1312
Mailing address
102 MEADOW LN, N SYRACUSE, NY 13212-2160
(901) 848-1840
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
059508
NY
Other
Enumeration date
04/20/2017
Last updated
02/18/2021
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