Individual
PRIYANKA KARAMCHANDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8820 36TH AVE NE STE 103, MARYSVILLE, WA 98270-7268
(201) 920-8138
Mailing address
PO BOX 860036, MINNEAPOLIS, MN 55486-0036
(281) 288-8900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32187
TX
1223G0001X
General Practice Dentistry
60786385
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942754676
PPO
WA
Enumeration date
08/10/2016
Last updated
03/27/2018
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