Individual
JILESH R GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3277 S CRATER RD STE C, PETERSBURG, VA 23805-9285
(804) 733-8446
Mailing address
3277 S CRATER RD STE C, PETERSBURG, VA 23805-9285
(804) 733-8446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401415840
VA
122300000X
Dentist
DS040483
PA
Other
Enumeration date
06/24/2015
Last updated
04/06/2018
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