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1396196713
PRAMOD PHILIP
BUFFALO, NY
NPI
1396196713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: NY 000108)
Enumeration Date
2016-06-27
Last Update Date
2020-02-17
Business Address
PRAMOD PHILIP
150 SQUIRE HALL
BUFFALO, NY 14214-8006
Phone number: 716-829-6189
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Mailing Address
PRAMOD PHILIP
110 SPRING MEADOW DR APT 10
BUFFALO, NY 14221-8422
Phone number: 216-246-1576
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