Individual
MANISHA SHRESTHA PRADHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
105 RIDGEWAY, FLOWOOD, MS 39232
(601) 415-9319
Mailing address
608 MERGANSER TRL, CLINTON, MS 39056-6258
(601) 415-9319
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3895-16
MS
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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