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NPI Code Detail

MEDICARE: DIPALI PANDYA DMD

MEDICARE: DIPALI PANDYA DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry049528NY

General Provider Information

NPI Number : 1922086925
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIPALI PANDYA DMD
Provider Business Mailing Address
First Line : 3809 JUNCTION BLVD
Second Line :
City : CORONA
State : NY
Zip : 11368-2153
Country : US
Telephone Number : 718-639-7100
Fax Number :
Provider Business Practice Location Address
First Line : 3809 JUNCTION BLVD
Second Line :
City : CORONA
State : NY
Zip : 11368-2153
Country : US
Telephone Number : 718-639-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 07/08/2007

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Directions to “ DIPALI PANDYA DMD” Practice Location

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