Individual
NISHITA IRUKULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7419 NEW FALLS RD, LEVITTOWN, PA 19055-1008
(215) 945-5199
Mailing address
9207 NEW FALLS RD, LANGHORNE, PA 19047
(609) 759-0194
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI02409100
NJ
1223G0001X
General Practice Dentistry
7625
AZ
1223G0001X
General Practice Dentistry
Primary
DS037592
PA
Other
Enumeration date
08/18/2008
Last updated
04/05/2012
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