Nishita Irukulla LLC

NPI #1417223637 in Levittown, Pennsylvania

Provider Information

NPI Number: 1417223637
Entity Type: Organization
Organization Name: Nishita Irukulla LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 2, 2012
Last Updated: Apr 2, 2012

Practice Location

Address: 7419 NEW FALLS RD
City: Levittown
State: Pennsylvania
ZIP Code: 19055-1008
Phone: (215) 945-5199

Authorized Official

Name: DR. NISHITA IRUKULLA
Title: AUTHORIZED MEMBER
Phone: (609) 759-0194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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