Provider Demographics
NPI:1003918038
Name:ATURALIYA, PRAVIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:PRAVIN
Middle Name:
Last Name:ATURALIYA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 E. SUPERIOR ST. #101
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55802
Mailing Address - Country:US
Mailing Address - Phone:218-279-6300
Mailing Address - Fax:218-279-6305
Practice Address - Street 1:925 E. SUPERIOR ST. #101
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802
Practice Address - Country:US
Practice Address - Phone:218-279-6300
Practice Address - Fax:218-279-6305
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND10835122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist