Individual
JIANYING HE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
450 WAVERLY AVE, SUITE 6, PATCHOGUE, NY 11772-1555
(631) 758-6689
Mailing address
49 MARYLAND ST, DIX HILLS, NY 11746-6945
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052936-1
NY
Other
Enumeration date
02/17/2008
Last updated
02/17/2008
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