Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DS035539 | PA |
NPI | 1215051958 |
---|---|
Provider Name | Dr. Dinesh S Tewari |
First Address | East Lansdowne, PA 19050-2518 |
Second Address | Drexel Hill, PA 19026-3809 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 08/07/2007 |