Individual
RICHA VYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(215) 898-8965
Mailing address
1909 WALNUT ST UNIT 2203, PHILADELPHIA, PA 19103-4758
(336) 339-4627
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS044875
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/22/2024
Last updated
06/26/2025
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