DR. Sasankoti Mohan Ravi Prakash, DMD

NPI #1346970613 in Florence, South Carolina

Provider Information

NPI Number: 1346970613
Entity Type: Individual
Name: DR. Sasankoti Mohan Ravi Prakash, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 10, 2022
Last Updated: May 16, 2023

Practice Location

Address: 360 N IRBY ST
City: Florence
State: South Carolina
ZIP Code: 29501-2808
Phone: (843) 667-9414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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