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Organization
MONTGOMERY EMERGENCY DENTIST LLC
Active
Organization
MONTGOMERY EMERGENCY DENTIST LLC
Active
Other names
MONTGOMERY EMERGENCY DENTIST LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NICK SHARKOV (MANAGER)
(215) 475-5140
Entity
Organization
Contact information
Practice address
396 DOYLESTOWN RD, MONTGOMERYVILLE, PA 18936-9609
(215) 475-5140
(215) 475-5245
Mailing address
396 DOYLESTOWN RD, MONTGOMERYVILLE, PA 18936-9609
(121) 547-5514
(215) 475-5245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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