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Organization
PRAMUKHASHISH, LLC
Active
Organization
PRAMUKHASHISH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAVITA PANKAJ PATEL D.D.S. (SINGLE-MEMBER OWNER)
(732) 382-4104
Entity
Organization
Contact information
Practice address
1503 SAINT GEORGES AVE, SUITE 102, COLONIA, NJ 07067-3425
(732) 382-4104
(732) 388-6078
Mailing address
1503 SAINT GEORGES AVE, SUITE 102, COLONIA, NJ 07067-3425
(732) 382-4104
(732) 388-6078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02033900
NJ
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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