Individual
DR. KANAK H TRIVEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10501 ACADEMY RD STE C, PHILADELPHIA, PA 19114-1137
(215) 637-7474
Mailing address
10501 ACADEMY RD, SUITE C, PHILADELPHIA, PA 19114
(215) 637-7474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS041411
PA
Other
Enumeration date
07/02/2014
Last updated
09/18/2017
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