Nishita Irukulla, DDS
Dentist, General Practice in Levittown, PA. Individual provider (NPI-1).
NPI number1578719829
StatusActive
Last updated in NPPESApr 5, 2012
Details
- NPI
- 1578719829
- Entity type
- Individual (NPI-1)
- Name
- Nishita Irukulla
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2008
- Last updated
- Apr 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DS037592 | PA | Yes |
| 1223G0001X | Dentist, General Practice | 7625 | AZ | |
| 1223G0001X | Dentist, General Practice | 22DI02409100 | NJ |
Practice location
7419 New Falls RdLevittown, PA 19055-1008
Phone 215-945-5199
Mailing address
9207 New Falls RdLanghorne, PA 19047
Phone 609-759-0194
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