Individual
DR. NIRUPAMA YARENAHALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6001 CHESTER AVE, PHILADELPHIA, PA 19142-1410
(215) 724-6666
Mailing address
1728 RASPBERRY CT, EDISON, NJ 08817-2748
(479) 966-7871
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS042425
PA
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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