# NIDHESHA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730566266
- **Authorized official:** JIGNA A PATEL DDS (SOLE MBR)
- **Authorized official phone:** (732) 662-0136

## Contact information

- **Practice address:** 1011 CROFFT DR, LANCASTER, PA 17601-4889
- **Practice address phone:** (732) 662-0136
- **Mailing address:** 1011 CROFFT DR, LANCASTER, PA 17601-4889
- **Mailing address phone:** (732) 662-0136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS037589 | PA | Yes |

## Other

- **Enumeration date:** 05/05/2015
- **Last updated:** 05/05/2015