Individual
DR. JOHN A. DIANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2500 NESCONSET HWY, BUILDING 11, SUITE C, STONY BROOK, NY 11790-2555
(631) 751-8004
(631) 751-2510
Mailing address
2500 NESCONSET HWY, BUILDING 11, SUITE C, STONY BROOK, NY 11790-2555
(631) 751-8004
(631) 751-2510
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
037208
NY
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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