Individual
KRUPA BAMBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 ELLIS DR APT 1402, GLEN MILLS, PA 19342-3403
(484) 714-5261
Mailing address
225 WILMINGTON W CHESTER PIKE STE 100, CHADDS FORD, PA 19317-9011
(427) 148-4285
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2901601536
MI
Other
Enumeration date
10/24/2022
Last updated
12/10/2024
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