Individual
KALPANA PREETHI JAVVADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2107B COTTMAN AVE, PHILADELPHIA, PA 19149-1122
(215) 235-4060
(215) 742-7004
Mailing address
2107B COTTMAN AVE, PHILADELPHIA, PA 19149-1122
(215) 235-4060
(215) 742-7004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS045361
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2023
Last updated
07/26/2025
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