Individual
KRISTINA MATHAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1575 N 52ND ST STE 705, PHILADELPHIA, PA 19131-4729
(215) 879-1777
Mailing address
14402 BRENTSHIRE LN, HOUSTON, TX 77069-1442
(281) 704-5853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS045231
PA
Other
Enumeration date
03/08/2025
Last updated
07/14/2025
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