Dr. Jenish George Kizhakkemuriyil, DDS
Dentist, General Practice in Philadelphia, PA. Individual provider (NPI-1).
NPI number1164065223
StatusActive
Last updated in NPPESOct 22, 2019
Details
- NPI
- 1164065223
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jenish George Kizhakkemuriyil
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2019
- Last updated
- Oct 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DS042491 | PA | Yes |
Practice location
5675 N Front StPhiladelphia, PA 19120-2719
Phone 215-224-0440
Mailing address
22 Elder AveBergenfield, NJ 07621-1506
Phone 201-673-6391
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