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Organization
TEETH WHITENING CENTER
Active
Organization
TEETH WHITENING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATHEW CHERIAN (PRESIDENT)
(215) 663-1223
Entity
Organization
Contact information
Practice address
327 TOWNSHIP LINE RD, ELKINS PARK, PA 19027-2222
(215) 663-1223
(215) 663-1299
Mailing address
327 TOWNSHIP LINE RD, ELKINS PARK, PA 19027-2222
(215) 663-1223
(215) 663-1299
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS 035070
PA
261QD0000X
Dental Clinic/Center
Primary
DS 035070
PA
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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