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Organization

P PRADHAN DDS PLLC

Active
Other names
Ivory Dental Caee
Organization subpart
No

Provider details

NPI number
Authorized official
PRASANNATA PRADHAN DDS (GENERAL DENTIST)
(914) 968-3330
Entity
Organization

Contact information

Practice address
436 S BROADWAY # A, YONKERS, NY 10705-2339
(914) 968-3330
(914) 457-3960
Mailing address
436 S BROADWAY # A, YONKERS, NY 10705-2339
(914) 968-3330
(914) 457-3960

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
09/09/2024
Last updated
09/09/2024
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