Individual
JOHN ANTHONY PRONDECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
205 W BAY PLZ, PLATTSBURGH, NY 12901-1786
(518) 561-0301
(518) 561-0301
Mailing address
205 W BAY PLZ, PLATTSBURGH, NY 12901-1786
(518) 561-0301
(518) 561-0301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
039261
NY
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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