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Organization
NIRMOLAR DENTAL PC
Active
Organization
NIRMOLAR DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIRMOLRATTAN K CHANDHOKE DMD (OWNER)
(718) 622-8950
Entity
Organization
Contact information
Practice address
1154 FULTON ST, BROOKLYN, NY 11216-2077
(718) 622-8960
(718) 622-8950
Mailing address
1154 FULTON ST, BROOKLYN, NY 11216-2077
(718) 622-8960
(718) 622-8950
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056882
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03706672
—
NY
Enumeration date
01/02/2014
Last updated
01/02/2014
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