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Individual

DR. MIRAJ DUDHAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
10501 ACADEMY RD STE A, PHILADELPHIA, PA 19114-1137
(215) 637-7474
Mailing address
1297 IVY LN, NORTH WALES, PA 19454-1911

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS044621
PA

Other

Enumeration date
06/05/2024
Last updated
06/05/2024
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