Media Dental Associates Dmd LLC
NPI #1699231118 in Media, Pennsylvania
Provider Information
- NPI Number
- 1699231118
- Entity Type
- Organization
- Organization Name
- Media Dental Associates Dmd LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 20, 2019
- Last Updated
- Feb 20, 2019
Practice Location
- Address
- 511 N PROVIDENCE RD
- City
- Media
- State
- Pennsylvania
- ZIP Code
- 19063-2518
- Phone
- (610) 565-0525
Authorized Official
- Name
- JITEN P GOHEL, DMD
- Title
- PRESIDENT/OWNER
- Phone
- (610) 565-0525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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