| Pramukhashish, LLC | |
|
1503 Saint Georges Ave Suite 102 Colonia NJ 07067-3425 | |
| (732) 382-4104 | |
| (732) 388-6078 |
| Full Name | Pramukhashish, LLC |
|---|---|
| Speciality | Dentist |
| Location | 1503 Saint Georges Ave, Colonia, New Jersey |
| Authorized Official Name and Position | Kavita Pankaj Patel (SINGLE-MEMBER OWNER) |
| Authorized Official Contact | 7323824104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pramukhashish, LLC 1503 Saint Georges Ave Suite 102 Colonia NJ 07067-3425 Ph: (732) 382-4104 | Pramukhashish, LLC 1503 Saint Georges Ave Suite 102 Colonia NJ 07067-3425 Ph: (732) 382-4104 |
| NPI Number | 1518024413 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518024413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI02033900 (New Jersey) | Primary |
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