Individual
VIJI SEETHARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5675 N FRONT ST, SUITE 50, PHILADELPHIA, PA 19120
(215) 224-0440
(215) 224-0446
Mailing address
430 W ERIE ST, STE 200, CHICAGO, IL 60654-6914
(312) 274-0487
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS039249
PA
Other
Enumeration date
06/21/2012
Last updated
07/17/2012
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