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Individual

PRADEEP GADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1501 W STOUT ST, RICE LAKE, WI 54868-5001
(412) 689-2172
Mailing address
1705 N DIXIE AVE STE 111, ELIZABETHTOWN, KY 42701-5527
(270) 713-9062

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11249
KY
1223G0001X
General Practice Dentistry
1002502-15
WI
1223G0001X
General Practice Dentistry
36307
TX

Other

Enumeration date
07/10/2020
Last updated
10/09/2025
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