Search › New York › 122300000X
Avasa Jagan, DDS
NPI 1023582152 · on the registry since 2019
Practice
- Address
- 11512 Liberty Ave Ste 2b
Jamaica, NY 11419 - Phone
- (929) 499-3287
Additional practice sites
- 1545 Atlantic Ave, Brooklyn, NY
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York