Organization
NISHITA IRUKULLA LLC
Active
Other names
New Falls Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NISHITA IRUKULLA (AUTHORIZED MEMBER)
(609) 759-0194
Entity
Organization
Contact information
Practice address
7419 NEW FALLS RD, LEVITTOWN, PA 19055-1008
(215) 945-5199
Mailing address
7419 NEW FALLS RD, LEVITTOWN, PA 19055-1008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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