Park Avenue Dental Associates

NPI #1689732380 in Upper Darby, Pennsylvania

Provider Information

NPI Number: 1689732380
Entity Type: Organization
Organization Name: Park Avenue Dental Associates
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 5, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 134 S STATE RD
City: Upper Darby
State: Pennsylvania
ZIP Code: 19082-2902
Phone: (610) 789-2440

Authorized Official

Name: SAID HUSSIEN MOHAMED-AI, DDS
Title: OWNER
Phone: (610) 789-2440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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