Individual
JISS KURUVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 OXFORD VALLEY RD STE 302A, YARDLEY, PA 19067-7709
(267) 573-4142
Mailing address
301 OXFORD VALLEY RD STE 302A, YARDLEY, PA 19067-7709
(267) 573-4142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS035061
PA
Other
Enumeration date
12/14/2006
Last updated
01/15/2013
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