Individual
DR. NIRA DWIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3808 BELL BLVD, SUITE 3, BAYSIDE, NY 11361-2170
(718) 631-3300
(718) 631-3309
Mailing address
3808 BELL BLVD, SUITE 3, BAYSIDE, NY 11361-2170
(718) 631-3300
(718) 631-3309
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
049547-1
NY
Other
Enumeration date
11/05/2007
Last updated
01/11/2012
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