Paoli Family Dentistry LLC
NPI #1457621559 in Paoli, Pennsylvania
Provider Information
- NPI Number
- 1457621559
- Entity Type
- Organization
- Organization Name
- Paoli Family Dentistry LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 5, 2012
- Last Updated
- Jan 5, 2012
Practice Location
- Address
- 1410 RUSSELL ROAD
- Address 2
- SUITE 203
- City
- Paoli
- State
- Pennsylvania
- ZIP Code
- 19301
- Phone
- (610) 647-0353
Authorized Official
- Name
- MICHAEL SEPEHR AGUBEGI, DMD
- Title
- DENTIST/OWNER
- Phone
- (610) 647-0353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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