# PRADEEP KHANIJOU DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** pradeep khanijou dental pc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053156489
- **Authorized official:** PRADEEP K KHANIJOU DDS (PRESIDENT)
- **Authorized official phone:** (516) 717-9969

## Contact information

- **Practice address:** 24740 JERICHO TPKE, FLORAL PARK, NY 11001-4001
- **Practice address phone:** (516) 233-1616
- **Practice address fax:** (516) 233-1024
- **Mailing address:** 31A VALLEY VIEW RD, GREAT NECK, NY 11021-3917
- **Mailing address phone:** (516) 717-9969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/27/2024
- **Last updated:** 06/27/2024