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Individual

ARCHANA TADISENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1901 UNION BLVD, ALLENTOWN, PA 18109-1676
(610) 437-5353
(610) 439-5760
Mailing address
401 COMMERCE DR, SUITE 108, FORT WASHINGTON, PA 19034-2714
(215) 550-7186
(215) 646-6369

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS038123
PA

Other

Enumeration date
04/21/2010
Last updated
04/21/2010
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