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Organization
LUDLOW DENTAL P.C.
Active
Organization
LUDLOW DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REVATHI LAXMINARAYAN DDS (DENTIST)
(914) 423-2493
Entity
Organization
Contact information
Practice address
45 LUDLOW ST, SUITE 606, YONKERS, NY 10705-1947
(914) 423-2493
(914) 423-0263
Mailing address
45 LUDLOW ST, SUITE 606, YONKERS, NY 10705-1947
(914) 423-2493
(914) 423-0263
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
033316
NY
1223G0001X
General Practice Dentistry
044823
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01452675
—
NY
Enumeration date
10/23/2008
Last updated
10/23/2008
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