Individual
ADIT RANJAN DUTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
21620 27TH AVE, BAYSIDE, NY 11360-2612
(718) 908-3038
Mailing address
21620 27TH AVE, BAYSIDE, NY 11360-2612
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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