Individual
MRUDULA N PARIKH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
278 WILSON AVE, BROOKLYN, NY 11237-5140
(718) 455-7600
(718) 455-7697
Mailing address
57 FOXWOOD DR, JERICHO, NY 11753-1108
(516) 938-5358
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0302801
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00295092
—
NY
Enumeration date
11/08/2005
Last updated
07/08/2007
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