Individual
DEBORAH DESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5A BATAVIA CITY CTR, BATAVIA, NY 14020-2107
(585) 344-0775
Mailing address
5A BATAVIA CITY CTR, BATAVIA, NY 14020-2107
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
049573-1
NY
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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