Individual
PURVA SUBHASH DHOMNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
900 HERITAGE DR STE 905, POTTSTOWN, PA 19464-9223
(030) 610-3239
Mailing address
1310 VALLEY DR, LANSDALE, PA 19446-6648
(215) 353-0280
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS043966
PA
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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