Individual
DR. DINESH VASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
257 NASSAU RD, ROOSEVELT, NY 11575-1736
(516) 334-1076
(516) 334-1076
Mailing address
257 NASSAU RD, ROOSEVELT, NY 11575-1736
(516) 334-1076
(516) 334-1076
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
035500
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00520163
—
NY
Enumeration date
12/31/2006
Last updated
07/08/2007
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