Organization
K JAYADEVAN DDS
Active
Other names
Dental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISHNASWAMY JAYADEVAN DDS (OWNER)
(631) 567-8899
Entity
Organization
Contact information
Practice address
5801 SUNRISE HWY, HOLBROOK, NY 11741-4841
(631) 567-8899
(631) 567-8118
Mailing address
5801 SUNRISE HWY, HOLBROOK, NY 11741-4841
(631) 567-8899
(631) 567-8118
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
034016
NY
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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