Organization
I. PRODANOVA DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IORDANKA PRODANOVA (DENTIST)
(212) 216-9092
Entity
Organization
Contact information
Practice address
1 W 34TH ST RM 903, NEW YORK, NY 10001-2229
(212) 216-9090
Mailing address
241 W 97TH ST APT 2N, NEW YORK, NY 10025-6207
(646) 387-6083
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/29/2020
Last updated
10/29/2021
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