Individual
DR. MAHUA BOSE PILLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MMSC
Contact information
Practice address
30 E 40TH ST RM 506, NEW YORK, NY 10016-1235
(631) 681-3031
Mailing address
200 RIVERSIDE BLVD APT 19G, NEW YORK, NY 10069-0910
(631) 681-3031
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
060441-01
NY
1223E0200X
Endodontics
DN1857372
MA
1223G0001X
General Practice Dentistry
DN1857372
MA
Other
Enumeration date
08/08/2016
Last updated
09/05/2019
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