Chadds Ford Dental Village
NPI #1467529511 in Chadds Ford, Pennsylvania
Provider Information
- NPI Number
- 1467529511
- Entity Type
- Organization
- Organization Name
- Chadds Ford Dental Village
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 30, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 98 ROUTE 202 AT PA DE LINE
- City
- Chadds Ford
- State
- Pennsylvania
- ZIP Code
- 19317
- Phone
- (610) 459-4915
Authorized Official
- Name
- DR. SIAD HUSSIEN MOHAMED-ALI, DDS
- Title
- OWNER
- Phone
- (610) 459-4915
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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