Individual
DR. GAURAV MAHINDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
630 9TH AVE, NEW YORK, NY 10036-3708
(212) 265-6419
Mailing address
443 W 44TH ST, APT. 2, NEW YORK, NY 10036-4460
(516) 343-4812
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055737
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2011
Last updated
08/14/2011
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