| Ivory Dental Caee | |
|
436 S Broadway # A Yonkers NY 10705-2339 | |
| (914) 968-3330 | |
| (914) 457-3960 |
| Full Name | Ivory Dental Caee |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 436 S Broadway # A, Yonkers, New York |
| Authorized Official Name and Position | Prasannata Pradhan (GENERAL DENTIST) |
| Authorized Official Contact | 9149683330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivory Dental Caee 436 S Broadway # A Yonkers NY 10705-2339 Ph: (914) 968-3330 | Ivory Dental Caee 436 S Broadway # A Yonkers NY 10705-2339 Ph: (914) 968-3330 |
| NPI Number | 1285460212 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285460212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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