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Organization

PRABHA KRISHNAN DDS P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PRABHA KRISHNAN D.D.S. (PRESIDENT)
(718) 268-5777
Entity
Organization

Contact information

Practice address
110-45 QUEENS BOULEVARD, SUITE #108, FOREST HILLS, NY 11375-5501
(718) 268-5777
Mailing address
110-45 QUEENS BOULEVARD, SUITE #108, FOREST HILLS, NY 11375-5501
(718) 268-5777

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
043558
NY

Other

Enumeration date
08/10/2010
Last updated
08/10/2010
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