Individual
DIVAKAR P MULGUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14302 45TH AVE, FLUSHING, NY 11355-2231
(718) 539-5540
(718) 539-1022
Mailing address
14302 45TH AVE, FLUSHING, NY 11355-2231
(718) 539-5540
(718) 539-1022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
034145
NY
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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