Individual
AVIJIT GOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1401 PENNSYLVANIA AVE, SUITE 206, WILMINGTON, DE 19806-4124
(914) 420-2053
Mailing address
3310 BREIDABLIK DR, GREENVILLE, DE 19807-1925
(914) 420-2053
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS-09066
IA
122300000X
Dentist
DS036689
PA
122300000X
Dentist
Primary
G1-0001283
DE
1223P0300X
Periodontics
G1-0001283
DE
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
09066
IA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DS036689
PA
Other
Enumeration date
10/18/2006
Last updated
08/04/2016
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