Individual
PRIYA E JESUDASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2100 N BROAD ST, LANSDALE, PA 19446-1052
(215) 362-2333
Mailing address
2100 N BROAD ST, LANSDALE, PA 19446-1052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS039486
PA
Other
Enumeration date
07/23/2013
Last updated
02/12/2016
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