LIA DATIKASHVILI, DDS

DDS

Dentist

NPI: 1780977926Individual

Specialties, Licenses & Credentials

DentistPrimary

Dentist

Code: 122300000X

055422-1(NY)22DI02125000(NJ)

Contact & Hours

Address: 293 E 149TH ST
BRONX, NY 10451
Phone: (646) 404-5005

Quick Facts

NPI: 1780977926
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 2
Locations: 1

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