K Jayadevan DDS

NPI #1447422720 in Holbrook, New York

Provider Information

NPI Number: 1447422720
Entity Type: Organization
Organization Name: K Jayadevan DDS
Primary Specialty: Dentist
Enumeration Date: Mar 27, 2008
Last Updated: Mar 27, 2008

Practice Location

Address: 5801 SUNRISE HWY
City: Holbrook
State: New York
ZIP Code: 11741-4841
Phone: (631) 567-8899

Authorized Official

Name: DR. KRISHNASWAMY JAYADEVAN, DDS
Title: OWNER
Phone: (631) 567-8899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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