# SANI KHATAM & ANDERSON PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bala Oral Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174680961
- **Authorized official:** DR. BAHMAN SANI KHATAM DMD (OWNER)
- **Authorized official phone:** (610) 667-7171

## Contact information

- **Practice address:** 125 W CITY AVENUE, BALA CYNWYD, PA 19004
- **Practice address phone:** (610) 667-7171
- **Practice address fax:** (610) 667-5121
- **Mailing address:** 125 W CITY AVENUE, BALA CYNWYD, PA 19004
- **Mailing address phone:** (610) 667-7171
- **Mailing address fax:** (610) 667-5121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS024444L | PA | Yes |
| 122300000X | Dentist | DS026658L | PA | — |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 08/22/2020