Individual
DEV D MISHRA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1388 SAINT JOHNS PL, BROOKLYN, NY 11213-3810
(718) 467-6336
(715) 501-0006
Mailing address
274 PARK AVE W, WESTBURY, NY 11590-1217
(516) 838-5095
(516) 997-5122
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044389
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01370378
—
NY
Enumeration date
12/08/2005
Last updated
07/08/2007
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