Individual
SHRUTI TEWARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1804 RITTENHOUSE SQ, PHILADELPHIA, PA 19103-5802
(215) 735-9000
Mailing address
117 N 15TH ST, APT 803, PHILADELPHIA, PA 19102-1516
(610) 457-7182
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS040614
PA
Other
Enumeration date
09/11/2015
Last updated
05/05/2016
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