Pramukhashish, LLC

NPI #1518024413 in Colonia, New Jersey

Provider Information

NPI Number: 1518024413
Entity Type: Organization
Organization Name: Pramukhashish, LLC
Primary Specialty: Dentist
Enumeration Date: Jan 2, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1503 SAINT GEORGES AVE
Address 2: SUITE 102
City: Colonia
State: New Jersey
ZIP Code: 07067-3425
Phone: (732) 382-4104

Authorized Official

Name: DR. KAVITA PANKAJ PATEL, D.D.S.
Title: SINGLE-MEMBER OWNER
Phone: (732) 382-4104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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