Individual
DR. JAYENDRA A PANCHAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5801 5TH AVE, BROOKLYN, NY 11220-3819
(718) 493-0086
Mailing address
5801 5TH AVE, 472 58TH STREET, BROOKLYN, NY 11220-3819
(718) 492-0086
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
038066
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00838106
—
NY
Enumeration date
10/20/2005
Last updated
07/08/2007
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