Individual
PRACHI SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 WEST AVE, ALBION, NY 14411-1522
(585) 589-5613
Mailing address
100 WESTERLOE AVE, ROCHESTER, NY 14620-3416
(804) 615-7804
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
064270
NY
Other
Enumeration date
03/13/2023
Last updated
12/30/2025
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