| Meena Jaiswal, Dds | |
|
584 Broadway Massapequa NY 11758-5022 | |
| (516) 797-7521 | |
| Not Available |
| Full Name | Meena Jaiswal, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 584 Broadway, Massapequa, New York |
| Authorized Official Name and Position | Meena Jaiswal (OWNER DENTIST) |
| Authorized Official Contact | 5167977521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meena Jaiswal, Dds 584 Broadway Massapequa NY 11758-5022 Ph: (516) 797-7521 | Meena Jaiswal, Dds 584 Broadway Massapequa NY 11758-5022 Ph: (516) 797-7521 |
| NPI Number | 1740400712 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 02/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740400712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0415541 (New York) | Primary |
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