Individual
KAUSHIK PANDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2627 GERMANTOWN AVE, PHILADELPHIA, PA 19133-1618
(215) 228-8723
Mailing address
2627 GERMANTOWN AVE, PHILADELPHIA, PA 19133-1618
(215) 228-8723
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
020871
PA
Other
Enumeration date
05/12/2008
Last updated
11/14/2011
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