Individual
NIYATHA KAVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2301 E ALLEGHENY AVE STE 201, PHILADELPHIA, PA 19134-4427
(215) 282-8000
Mailing address
2301 E ALLEGHENY AVE STE 201, PHILADELPHIA, PA 19134-4427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS044081
PA
Other
Enumeration date
05/31/2023
Last updated
06/01/2023
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