DR. Prabha Krishnan, D.D.S.

NPI #1316013428 in Rego Park, New York

Provider Information

NPI Number: 1316013428
Entity Type: Individual
Name: DR. Prabha Krishnan, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: D.D.S.
Enumeration Date: Nov 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6420 99TH ST
City: Rego Park
State: New York
ZIP Code: 11374-2648
Phone: (718) 896-2266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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