Individual
DR. PERM GULATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4001 LYMAN DRIVE, PHILADELPHIA, PA 19114
(215) 637-6300
Mailing address
4001 LYMAN DRIVE, PHILADELPHIA, PA 19114
(215) 637-6300
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS018782L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0570933
—
PA
Enumeration date
03/09/2007
Last updated
07/08/2007
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