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Organization
SURYA DENTAL PSC
Active
Organization
SURYA DENTAL PSC
Active
Other names
Parkway Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONALI HALDANKAR DMD (OWNER)
(502) 471-1321
Entity
Organization
Contact information
Practice address
4701 SOUTHERN PKWY, LOUISVILLE, KY 40214-1424
(502) 366-4121
Mailing address
4701 SOUTHERN PKWY, LOUISVILLE, KY 40214-1424
(502) 366-4121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
06/29/2023
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