Provider Demographics
NPI:1447383088
Name:MADHULIKA PRIYA ADVANI DMD
Entity Type:Organization
Organization Name:MADHULIKA PRIYA ADVANI DMD
Other - Org Name:FAMILY & COSMETIC DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MADHULIKA
Authorized Official - Middle Name:PRIYA
Authorized Official - Last Name:ADVANI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:914-937-6040
Mailing Address - Street 1:118 S RIDGE ST STE 5
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-2848
Mailing Address - Country:US
Mailing Address - Phone:914-937-6040
Mailing Address - Fax:914-937-6053
Practice Address - Street 1:118 S RIDGE ST STE 5
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-2848
Practice Address - Country:US
Practice Address - Phone:914-937-6040
Practice Address - Fax:914-937-6053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental