# AMERICAN DENTAL HEALTH PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** United Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265142004
- **Authorized official:** DISHITA S BOGHARA (VICE PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (215) 237-4474

## Contact information

- **Practice address:** 8911 KREWSTOWN ROAD, PHILADELPHIA, PA 19115
- **Practice address phone:** (215) 237-4474
- **Practice address fax:** (215) 613-6066
- **Mailing address:** 8911 KREWSTOWN ROAD, PHILADELPHIA, PA 19115
- **Mailing address phone:** (215) 237-4474
- **Mailing address fax:** (215) 613-6066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2022
- **Last updated:** 12/02/2022