Individual
SOUMAYA BENDJILALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000
Mailing address
599 LEHIGH GAP ST, WALNUTPORT, PA 18088-1319
(610) 674-9052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS042940
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/30/2019
Last updated
10/19/2020
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