# SURYA DENTAL PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Parkway Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770219859
- **Authorized official:** DR. MONALI HALDANKAR DMD (OWNER)
- **Authorized official phone:** (502) 471-1321

## Contact information

- **Practice address:** 4701 SOUTHERN PKWY, LOUISVILLE, KY 40214-1424
- **Practice address phone:** (502) 366-4121
- **Mailing address:** 4701 SOUTHERN PKWY, LOUISVILLE, KY 40214-1424
- **Mailing address phone:** (502) 366-4121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/29/2022
- **Last updated:** 06/29/2023