PA Dental Group LLC

NPI #1316323371 in Fairless Hills, Pennsylvania

Provider Information

NPI Number: 1316323371
Entity Type: Organization
Organization Name: PA Dental Group LLC
Primary Specialty: Dentist
Enumeration Date: Jul 31, 2015
Last Updated: Jul 31, 2015

Practice Location

Address: 320 N OXFORD VALLEY RD
City: Fairless Hills
State: Pennsylvania
ZIP Code: 19030-2610
Phone: (215) 946-9400

Authorized Official

Name: PARUL TRIVEDI
Title: MANAGER
Phone: (215) 946-9400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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