Individual
SIAN MALIAH-DUPASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
259 BRISTOL ST FL 1, BROOKLYN, NY 11212-5540
(718) 345-5000
Mailing address
592 ROCKAWAY AVE, BROOKLYN, NY 11212-5539
(718) 345-5000
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
024913
NY
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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