Individual
MS. ISHA MANAN GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
292 W RIDGE PIKE STE A, LIMERICK, PA 19468-3716
(407) 797-9417
Mailing address
PO BOX 1978, SALISBURY, MD 21802-1978
(410) 749-1015
(410) 749-0654
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
LL851
MD
1223P0221X
Pediatric Dentistry
Primary
DS043580
PA
1223P0221X
Pediatric Dentistry
LL851
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
08/22/2017
Last updated
11/25/2022
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