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Organization
PALLAVI NARENDRANATH DDS
Active
Organization
PALLAVI NARENDRANATH DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PALLAVI NARENDRANATH DDS (OWNER)
(585) 924-7994
Entity
Organization
Contact information
Practice address
631 S MAIN ST, NEWARK, NY 14513-1726
(315) 331-3552
Mailing address
31 COBBLECREEK RD, VICTOR, NY 14564-9763
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050826-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02627672
—
NY
Enumeration date
05/18/2008
Last updated
05/18/2008
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