DR. Praveen Kumar Mandera Govindaiah, D.M.D
NPI #1699938290 in East Syracuse, New York
Provider Information
- NPI Number
- 1699938290
- Entity Type
- Individual
- Name
- DR. Praveen Kumar Mandera Govindaiah, D.M.D
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D
- Enumeration Date
- Jul 3, 2008
- Last Updated
- Jul 3, 2008
Practice Location
- Address
- 281 SANDERS CREEK PARKWAY
- Address 2
- C/O ASPEN DENTAL MANAGEMENT CO., INC
- City
- East Syracuse
- State
- New York
- ZIP Code
- 13057
- Phone
- (800) 966-6470
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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