| Prudent Dental Care,p.c | |
|
7517 41st Ave Elmhurst NY 11373-1004 | |
| (718) 803-6300 | |
| (718) 803-2434 |
| Full Name | Prudent Dental Care,p.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7517 41st Ave, Elmhurst, New York |
| Authorized Official Name and Position | Mysore Sanathkumar Ganga (PRESIDENT) |
| Authorized Official Contact | 7188036300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prudent Dental Care,p.c 7517 41st Ave Elmhurst NY 11373-1004 Ph: (718) 803-6300 | Prudent Dental Care,p.c 7517 41st Ave Elmhurst NY 11373-1004 Ph: (718) 803-6300 |
| NPI Number | 1992013973 |
|---|---|
| Provider Enumeration Date | 09/23/2010 |
| Last Update Date | 09/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992013973 | NPI | - | NPPES |
| 02489976 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 051064 (New York) | Primary |
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› Verified 2 days ago
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