National Provider Identifier
Lakshmi Devi Ranjan Mandava, BDS, AEGD GPR
Lakshmi Devi Ranjan Mandava, BDS, AEGD GPR is listed in the NPPES registry with a primary specialty of Dentist in Rochester, NY and a listed phone number of (585) 978-4070.
Profile Overview
- NPI
- 1811459878
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- April 01, 2019
- Last Updated
- July 21, 2020
Practice Location
- 1000 Hylan Dr Ste B
- Rochester, NY 14623-4218
Phone: (585) 978-4070
Mailing Address
- 3 Coddington Grv
- Pittsford, NY 14534-4720
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1811459878
- Entity Type
- Individual
- Last Name
- Mandava
- First Name
- Lakshmi Devi
- Middle Name
- Ranjan
- Credential
- BDS, AEGD GPR
- Mailing Street Address
- 3 Coddington Grv
- Mailing City
- Pittsford
- Mailing State
- NY
- Mailing ZIP Code
- 14534-4720
- Mailing Country
- US
- Mailing Phone
- (585) 978-4070
- Practice Street Address
- 1000 Hylan Dr Ste B
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-4218
- Practice Country
- US
- Practice Phone
- (585) 978-4070
- Enumeration Date
- April 01, 2019
- Last Updated
- July 21, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 21, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)