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1053629543
SRIVALLI PURNIMA SISTA
PHILADELPHIA, PA
NPI
1053629543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: PA DS038492)
Enumeration Date
2010-09-17
Last Update Date
2010-09-17
Business Address
-- SRIVALLI PURNIMA SISTA DMD
2107 B COTTMAN AVENUE
PHILADELPHIA, PA 19149
Phone number: 215-235-4060
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Mailing Address
-- SRIVALLI PURNIMA SISTA DMD
1338 VETERANS HWY APT H # 5
LEVITTOWN, PA 19056-2025
Phone number:
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