DR. Avasa Nalini Jagan, DDS

NPI #1023582152 in Jamaica, New York

Provider Information

NPI Number
1023582152
Entity Type
Individual
Name
DR. Avasa Nalini Jagan, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jan 11, 2019
Last Updated
Aug 21, 2019

Practice Location

Address
11512 LIBERTY AVE STE 2B
ZIP Code
11419-1902
Phone
(929) 499-3287

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Dentist

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