# P PRADHAN DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ivory Dental Caee
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285460212
- **Authorized official:** PRASANNATA PRADHAN DDS (GENERAL DENTIST)
- **Authorized official phone:** (914) 968-3330

## Contact information

- **Practice address:** 436 S BROADWAY \# A, YONKERS, NY 10705-2339
- **Practice address phone:** (914) 968-3330
- **Practice address fax:** (914) 457-3960
- **Mailing address:** 436 S BROADWAY \# A, YONKERS, NY 10705-2339
- **Mailing address phone:** (914) 968-3330
- **Mailing address fax:** (914) 457-3960

## Taxonomy

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

## Other

- **Enumeration date:** 09/09/2024
- **Last updated:** 09/09/2024