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Organization
PREETHA A KURUVILLA DDS PC
Active
Organization
PREETHA A KURUVILLA DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PREETHA A KURUVILLA DDS (PRESIDENT)
(718) 347-8787
Entity
Organization
Contact information
Practice address
260-12 HILLSIDE AVE, FLORAL PARK, NY 11004
(718) 347-8787
Mailing address
26012 HILLSIDE AVE, FLORAL PARK, NY 11004-1745
(718) 347-8787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048922
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02546129
—
NY
Enumeration date
04/19/2013
Last updated
04/19/2013
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