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Individual

VRUTTI DAVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
800 COMMUNITY DR STE 200, MANHASSET, NY 11030-3821
(516) 869-9500
Mailing address
800 COMMUNITY DR STE 200, MANHASSET, NY 11030-3821
(516) 869-9500

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2901021188
MI
1223P0221X
Pediatric Dentistry
Primary
057769
NY

Other

Enumeration date
11/07/2014
Last updated
04/20/2024
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