Organization
GOWDA-TRIVEDI LLC
Active
Parent organization
ABAROT DDS PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ABAROT DDS PC
Authorized official
PRIYA BAROT (OFFICE MANAGER)
(215) 335-0707
Entity
Organization
Contact information
Practice address
7265 REVERE ST, PHILADELPHIA, PA 19149-1429
(215) 335-0707
(215) 335-0797
Mailing address
7265 REVERE ST, PHILADELPHIA, PA 19149-1429
(215) 335-0707
(215) 335-0797
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS036359
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005292490001
—
PA
Enumeration date
11/06/2008
Last updated
11/06/2008
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