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Individual

HEMALI B JAVIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
2888 SR 29 S, MONROE NOXEN HEALTH CENTER, MONROE TOWNSHIP, PA 18636-7854
(570) 298-2161
(570) 298-2148
Mailing address
1084 ROUTE 315, WILKES-BARRE, PA 18702-7012
(570) 825-8741
(570) 825-8990

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS030763L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018181570002
PA
Enumeration date
10/23/2006
Last updated
09/03/2015
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