Individual
TEDI VATNIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4420 LIMESTONE RD STE 208, WILMINGTON, DE 19808-2005
(302) 274-0130
Mailing address
4420 LIMESTONE RD STE 208, WILMINGTON, DE 19808-2005
(302) 274-0130
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS042149
PA
1223E0200X
Endodontics
DS042149
PA
1223E0200X
Endodontics
Primary
G1-0011581
DE
Other
Enumeration date
05/20/2019
Last updated
03/31/2025
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