Individual
DR. DYLAN SALLERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
115 W 86TH ST STE 1A, NEW YORK, NY 10024-3410
(212) 579-0213
Mailing address
115 W 86TH ST STE 1A, NEW YORK, NY 10024-3410
(212) 579-0213
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS100891
CA
Other
Enumeration date
11/08/2016
Last updated
05/29/2024
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