Individual
PRAVEEN R BANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
20 COMMERCE WAY, SEEKONK, MA 02771-5823
(508) 336-6700
(508) 336-6742
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22295
MA
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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