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Individual

DR. MARIELENA DIAKOGIANNIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
16032 20TH AVE, WHITESTONE, NY 11357-3905
(718) 423-4500
(718) 423-5268
Mailing address
16032 20TH AVE, WHITESTONE, NY 11357-3905
(718) 423-4500
(718) 423-5268

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
043648
NY

Other

Enumeration date
10/12/2006
Last updated
07/08/2007
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