Individual
PUJITHA SIDDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MPH
Contact information
Practice address
2301 E ALLEGHENY AVE FL 2, PHILADELPHIA, PA 19134-4427
(215) 282-8000
Mailing address
1324 FRANKFORD AVE UNIT 407, PHILADELPHIA, PA 19125-3204
(747) 235-8612
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN.00204451
CO
122300000X
Dentist
Primary
DS043516
PA
Other
Enumeration date
07/08/2020
Last updated
06/22/2022
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