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Individual

SAKTHI TIRUCHIRAPALLI KESAVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2922 STATE ST, ERIE, PA 16508-1832
(814) 454-4530
(814) 456-2375
Mailing address
PO BOX 369, ERIE, PA 16512-0369
(814) 454-4530
(814) 456-2375

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS037513
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1021959410001
PA
Enumeration date
10/05/2006
Last updated
03/29/2017
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