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Individual
MINI PADMAJA NAIR
Active
Individual
MINI PADMAJA NAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401418629
VA
122300000X
Dentist
15099
MA
122300000X
Dentist
DL12512
MA
122300000X
Dentist
DL15099
MA
1223G0001X
General Practice Dentistry
Primary
0401418629
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401418629
COMMON WEALTH OF VIRGINIA
VA
01
—
E042791396
BERKSIRE MEDICAL CENTER
MA
Enumeration date
07/13/2015
Last updated
07/19/2024
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