Individual
DR. BANSI MITHANI DOESCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1500 JOHN F KENNEDY BLVD STE 1906, PHILADELPHIA, PA 19102
(215) 709-0001
(215) 709-6002
Mailing address
1500 JOHN F KENNEDY BLVD STE 1906, PHILADELPHIA, PA 19102-1714
(215) 709-0001
(215) 709-6002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI02420800
NJ
1223G0001X
General Practice Dentistry
Primary
DS038501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027475260003
—
PA
Enumeration date
08/04/2010
Last updated
02/21/2021
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