Provider Demographics
NPI:1376667121
Name:SOMARAJAN, HEMA R (DMD)
Entity Type:Individual
Prefix:DR
First Name:HEMA
Middle Name:R
Last Name:SOMARAJAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:193 MOUNTAIN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-1481
Mailing Address - Country:US
Mailing Address - Phone:610-358-5151
Mailing Address - Fax:
Practice Address - Street 1:1102 BALTIMORE PIKE
Practice Address - Street 2:SUITE #203
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-1058
Practice Address - Country:US
Practice Address - Phone:610-358-5151
Practice Address - Fax:610-358-2510
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS035582122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist