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Individual

DR. BRIJESH P. CHANDWANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
6918 KISSENA BLVD, 125A, FLUSHING, NY 11367-1563
(347) 494-4618
Mailing address
6918 KISSENA BLVD, 125A, FLUSHING, NY 11367-1563
(347) 494-4618

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
056482
NY
122300000X
Dentist
10404
CT
122300000X
Dentist
DN1855394
MA
1223G0001X
General Practice Dentistry
Primary
10404
CT

Other

Enumeration date
06/24/2010
Last updated
09/29/2015
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