# ELKINS PARK DENTAL INNOVATIONS PC

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

## Provider details

- **NPI number:** 1326755075
- **Authorized official:** DILIP DUDHAT (PRESIDENT)
- **Authorized official phone:** (215) 237-6099

## Contact information

- **Practice address:** 200 YORKTOWN PLZ, ELKINS PARK, PA 19027-1424
- **Practice address phone:** (215) 885-6565
- **Mailing address:** 118 KINGSTON WAY, NORTH WALES, PA 19454-4528
- **Mailing address phone:** (215) 390-3488

## Taxonomy

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

## Other

- **Enumeration date:** 11/02/2022
- **Last updated:** 11/02/2022