Prospect Park Family Dentistry PC
NPI #1023887908 in Prospect Park, Pennsylvania
Provider Information
- NPI Number
- 1023887908
- Entity Type
- Organization
- Organization Name
- Prospect Park Family Dentistry PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 20, 2023
- Last Updated
- Dec 20, 2023
Practice Location
- Address
- 907 LINCOLN AVE
- City
- Prospect Park
- State
- Pennsylvania
- ZIP Code
- 19076-1414
- Phone
- (610) 583-5052
Authorized Official
- Name
- MR. KETAV SHAH
- Title
- OWNER
- Phone
- (610) 583-5052
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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