Doctor Name: | MISS PRIYA MADHIWALA |
NPI Number: | 1861641698 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DMD |
License Number: | 052829 |
Business Practice Address: | 45 Route 46 East Ridgefield Park, NJ - 07660 |
Business Phone Number: | 2014402100 |
Business Fax Number: | |
Mailing Address: | 1350 Spring Street, 6th Floor ATLANTA |
State: | GA |
Postal Code: | 303092870 |
Phone Number: | 4042891950 |
Fax Number: | 6784444152 |
NPI Enumeration Date: | 09/17/2008 |
NPI Last Update Date: | 12/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 052829 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |