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1699938290
PRAVEEN KUMAR MANDERA GOVINDAIAH
EAST SYRACUSE, NY
NPI
1699938290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MA 22214)
Enumeration Date
2008-07-03
Last Update Date
2008-07-03
Business Address
Dr. PRAVEEN KUMAR MANDERA GOVINDAIAH D.M.D
281 SANDERS CREEK PARKWAY C/O ASPEN DENTAL MANAGEMENT CO., INC
EAST SYRACUSE, NY 13057
Phone number: 800-966-6470
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Mailing Address
Dr. PRAVEEN KUMAR MANDERA GOVINDAIAH D.M.D
1 TECHNOLOGY DR APT 4023
NORTH CHELMSFORD, MA 01863-2408
Phone number: 781-526-1496
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