Individual
PURVESHKUMAR L. MALAVIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1054 KINGS HWY, NEW BEDFORD, MA 02745-4949
(580) 995-0340
Mailing address
430 W ERIE ST STE 200, CHICAGO, IL 60654-6920
(312) 274-0308
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1855680
MA
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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