Individual
NAGARJU NAMASSIVAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
SUITE 164, 22 CLIFTON COUNTRY ROAD, CLIFTON PARK, NY 12065
(518) 373-9280
(518) 373-6574
Mailing address
SUITE 164, 22 CLIFTON COUNTRY ROAD, CLIFTON PARK, NY 12065
(518) 373-9280
(518) 373-6574
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044360
NY
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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