Individual
DR. PRARTHANA PAI KRISHNANANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
530 E MCDOWELL RD, PHOENIX, AZ 85004-1549
(470) 588-7377
Mailing address
530 E MCDOWELL RD, PHOENIX, AZ 85004-1549
(470) 588-7377
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
105979
CA
122300000X
Dentist
36319
TX
122300000X
Dentist
Primary
D011178
AZ
Other
Enumeration date
07/30/2020
Last updated
09/14/2021
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