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Individual

DR. JENISH GEORGE KIZHAKKEMURIYIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5675 N FRONT ST, PHILADELPHIA, PA 19120-2719
(215) 224-0440
Mailing address
22 ELDER AVE, BERGENFIELD, NJ 07621-1506
(201) 673-6391

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS042491
PA

Other

Enumeration date
10/22/2019
Last updated
10/22/2019
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