Individual
DIANA DEIDAN DEIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
121 E 60TH ST, SUITE 6NE, NEW YORK, NY 10022-1117
(212) 223-1030
(212) 223-7449
Mailing address
121 EAST 60 STREET, SUITE 6NE, NEW YORK, NY 10022
(212) 223-1030
(212) 223-7449
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045947-1
NY
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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