Prabha Krishnan Dds P.c. | |
110-45 Queens Boulevard Suite #108 Forest Hills NY 11375-5501 | |
(718) 268-5777 | |
Not Available |
Full Name | Prabha Krishnan Dds P.c. |
---|---|
Speciality | Dentist - Periodontics |
Location | 110-45 Queens Boulevard, Forest Hills, New York |
Authorized Official Name and Position | Prabha Krishnan (PRESIDENT) |
Authorized Official Contact | 7182685777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prabha Krishnan Dds P.c. 110-45 Queens Boulevard Suite #108 Forest Hills NY 11375-5501 Ph: (718) 268-5777 | Prabha Krishnan Dds P.c. 110-45 Queens Boulevard Suite #108 Forest Hills NY 11375-5501 Ph: (718) 268-5777 |
NPI Number | 1841505344 |
---|---|
Provider Enumeration Date | 08/10/2010 |
Last Update Date | 08/10/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841505344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 043558 (New York) | Primary |
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