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Provider Information for 1083790794



JIGNYA KURTISH DHARIA DDS

Gender: FEMALE

Individual NPI: 1083790794

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1083790794
Enumeration Date 2006-10-27
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 220 QUAIL ST
ALBANY, NY 12203
United States

Phone: 518-463-2622 | Fax: 518-463-2622
View Map External Link
Primary Practice Address 220 QUAIL ST
ALBANY, NY 12203
United States

Phone: 518-463-2622 | Fax: 518-463-2622
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist NY 044284