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Organization

PARUL TRIVEDI P.C.

Active
Other names
ABDENTAL
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY BOCHINSKI (OFFICE MANAGER)
(215) 333-6825
Entity
Organization

Contact information

Practice address
649 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2330
(215) 291-4200
(215) 291-4201
Mailing address
649 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2330
(215) 291-4200
(215) 291-4201

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS036928
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000909800
PA
Enumeration date
11/12/2009
Last updated
11/12/2009
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