Individual
KRISHNA C THUMATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
5675 N FRONT ST, UNIT 50, PHILADELPHIA, PA 19120
(920) 838-1649
Mailing address
35 NORTHAMPTON ST, APT NO 1809, BOSTON, MA 02118-4014
(617) 429-0571
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS038334
PA
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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