| Surya Dental Psc | |
|
4701 Southern Pkwy Louisville KY 40214-1424 | |
| (502) 366-4121 | |
| Not Available |
| Full Name | Surya Dental Psc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4701 Southern Pkwy, Louisville, Kentucky |
| Authorized Official Name and Position | Monali Haldankar (OWNER) |
| Authorized Official Contact | 5024711321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surya Dental Psc 4701 Southern Pkwy Louisville KY 40214-1424 Ph: (502) 366-4121 | Surya Dental Psc 4701 Southern Pkwy Louisville KY 40214-1424 Ph: (502) 366-4121 |
| NPI Number | 1770219859 |
|---|---|
| Provider Enumeration Date | 07/29/2022 |
| Last Update Date | 06/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770219859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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