# AAA FAMILY DENTISTRY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AAA Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316794456
- **Authorized official:** VIRAJ DESAI (OFFICE MANAGER)
- **Authorized official phone:** (440) 452-6453

## Contact information

- **Practice address:** 6200 BUSTLETON AVE, PHILADELPHIA, PA 19149-3431
- **Practice address phone:** (215) 289-9090
- **Mailing address:** 6200 BUSTLETON AVE, PHILADELPHIA, PA 19149-3431
- **Mailing address phone:** (215) 289-9090

## Taxonomy

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

## Other

- **Enumeration date:** 05/06/2024
- **Last updated:** 05/06/2024