Individual
DR. MARIETTA F MESIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
185 CANAL ST, NEW YORK, NY 10013-4537
(212) 431-5978
Mailing address
185 CANAL ST STE 403, NEW YORK, NY 10013-4537
(212) 431-5978
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
037190-1
NY
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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