Individual
DR. JINAKI KIANGA STALLWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
133 MORNINGSIDE AVE, NEW, NY 10030
(212) 923-7212
Mailing address
2111 5TH AVE APT 1, NEW YORK, NY 10035-1032
(850) 321-7411
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
056036
NY
Other
Enumeration date
06/25/2010
Last updated
02/23/2017
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