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1265459036
KANCHAN C. VAIDYA
PHILADELPHIA, PA
NPI
1265459036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: PA DSO20414-L)
Enumeration Date
2006-07-16
Last Update Date
2007-07-09
Business Address
Dr. KANCHAN C. VAIDYA DDS
5635 CHESTER AVE
PHILADELPHIA, PA 19143-5346
Phone number: 215-727-1010
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Mailing Address
Dr. KANCHAN C. VAIDYA DDS
5635 CHESTER AVE
PHILADELPHIA, PA 19143-5346
Phone number: 215-727-1010
Copy
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