Individual
AISHA GHARSALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2217 7TH AVE, ALTOONA, PA 16602-2243
(814) 942-9111
Mailing address
114 S BECKMAN DR, ALTOONA, PA 16602-2934
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS041891
PA
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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