Individual
MR. AEKLAVYA PANJALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS DDS
Contact information
Practice address
140 EASTERN BLVD, WATERTOWN, NY 13601
(315) 779-8080
(315) 779-8085
Mailing address
140 EASTERN BLVD, WATERTOWN, NY 13601
(315) 779-8080
(315) 779-8085
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
000016
NY
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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