K. Jayadevan DDS PC
NPI #1194997460 in Center Moriches, New York
Provider Information
- NPI Number
- 1194997460
- Entity Type
- Organization
- Organization Name
- K. Jayadevan DDS PC
- Primary Specialty
- Dentist
- Enumeration Date
- Mar 27, 2008
- Last Updated
- Mar 27, 2008
Practice Location
- Address
- 760 MONTAUK HWY
- Address 2
- SUITE 6
- City
- Center Moriches
- State
- New York
- ZIP Code
- 11934-2230
- Phone
- (631) 874-4707
Authorized Official
- Name
- DR. KRISHNASWAMY JAYADEVAN, DDS
- Title
- OWNER
- Phone
- (631) 874-4707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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