Nagarju Namassivaya, DDS

NPI #1982810586 in Clifton Park, New York

Provider Information

NPI Number: 1982810586
Entity Type: Individual
Name: Nagarju Namassivaya, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: SUITE 164
Address 2: 22 CLIFTON COUNTRY ROAD
City: Clifton Park
State: New York
ZIP Code: 12065
Phone: (518) 373-9280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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