Individual
SWATI GANDLURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1020 W BROAD ST, BETHLEHEM, PA 18018-5024
(806) 543-7376
(484) 892-6240
Mailing address
2168 NATOMA PL, MANTECA, CA 95337-8137
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN23765
FL
122300000X
Dentist
Primary
DS044717
PA
Other
Enumeration date
08/23/2016
Last updated
08/04/2026
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