Individual
SHRADDHA BHISHAK KAMAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-2900
Mailing address
1638 COPPER BEECH CIR, HUNTINGDON VALLEY, PA 19006-7771
(856) 938-8671
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
062877
NY
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DS040682
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2018
Last updated
02/28/2024
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