# ADVANCED COSMETIC AND IMPLANT DENTISTRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316780513
- **Authorized official:** HITESHKUMAR NADA DDS (MEMBER)
- **Authorized official phone:** (610) 944-0551

## Contact information

- **Practice address:** 501 N 17TH ST STE 107, ALLENTOWN, PA 18104-5044
- **Practice address phone:** (484) 350-3239
- **Mailing address:** 501 N 17TH ST STE 107, ALLENTOWN, PA 18104-5044
- **Mailing address phone:** (484) 350-3239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/15/2024
- **Last updated:** 06/17/2024