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General NPI Number Information
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NPI Number | 1871401034
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Entity Type | Organization
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Legal Business Name | PROSTHODONTIC ASSOCIATES OF WESTFIELD PA
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 104 N EUCLID AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-2427
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Country | US
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Telephone | 718-915-3713
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Fax | 866-894-5881
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Provider Business Mailing Address
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Address Line | 1 RIVER CT APT 2206
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City | JERSEY CITY
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State | NJ
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Zip | 07310-2009
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Country | US
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Telephone | 718-915-3713
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Fax | 866-894-5881
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YATIN KHANNA
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Credential | DDS
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Telephone | 718-915-3713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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