Individual
ANURADHA GANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DR
Contact information
Practice address
327 TOWNSHIP LINE RD, ELKINS PARK, PA 19027-2222
(215) 663-1223
Mailing address
5 TUNISON LN, BRIDGEWATER, NJ 08807-2440
(763) 222-8485
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037562
PA
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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