Individual
DR. DIPTI U MANIAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
141 PIKE ST, PORT JERVIS, NY 12771-1807
(845) 856-4002
(845) 858-1127
Mailing address
141 PIKE ST, PORT JERVIS, NY 12771-1807
(845) 856-4002
(845) 858-1127
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
040482
NY
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
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