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Organization
NEW YORK DENTAL LLC
Active
Organization
NEW YORK DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUKHMINDER SINGH PANNU DDS (OWNER)
(607) 777-1340
Entity
Organization
Contact information
Practice address
4501 VESTAL PKWY E, VESTAL, NY 13850-3565
(607) 777-1340
(607) 777-1345
Mailing address
4501 VESTAL PKWY E, VESTAL, NY 13850-3565
(607) 777-1340
(607) 777-1345
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048923
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02121915
—
NY
Enumeration date
11/08/2005
Last updated
08/22/2020
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