Individual
LAKSHMI DEVI RANJAN MANDAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, AEGD GPR
Contact information
Practice address
1000 HYLAN DR STE B, ROCHESTER, NY 14623-4218
(585) 978-4070
Mailing address
3 CODDINGTON GRV, PITTSFORD, NY 14534-4720
(585) 978-4070
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061071
NY
Other
Enumeration date
04/01/2019
Last updated
07/21/2020
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