Individual
DR. RIYA MAHESH KUKLANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.D.S.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140
(215) 707-3449
(215) 707-2781
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3449
(215) 707-2781
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
DRP 548
FL
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DS039414
PA
Other
Enumeration date
10/30/2008
Last updated
05/21/2018
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