Individual
RAJ PANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
335R PRAIRIE AVE, PROVIDENCE, RI 02905-2426
(401) 444-0430
(401) 444-0489
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN03178
RI
1223D0001X
Public Health Dentistry
DEN03178
RI
1223G0001X
General Practice Dentistry
12544
CT
1223G0001X
General Practice Dentistry
21146
MA
Other
Enumeration date
08/24/2006
Last updated
10/02/2023
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