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Individual

DR. MAYUR KANUBHAI DUDHAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
501 N 17TH ST STE 107, ALLENTOWN, PA 18104-5044
(304) 508-8588
Mailing address
107 WESTMINSTER DR, NORTH WALES, PA 19454-1218
(304) 508-8588

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS043193
PA

Other

Enumeration date
06/16/2021
Last updated
06/16/2021
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