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Organization
HUNTINGDON VALLEY DENTISTRY, P.C.
Active
Organization
HUNTINGDON VALLEY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRAM SHAMLOO DMD (PRESIDENT/OWNER)
(215) 803-7068
Entity
Organization
Contact information
Practice address
2600 PHILMONT AVE STE 114, HUNTINGDON VALLEY, PA 19006-5307
(215) 947-4910
Mailing address
2600 PHILMONT AVE STE 114, HUNTINGDON VALLEY, PA 19006-5307
(215) 947-4910
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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