# DENTAL IMPLANT STUDIO OF MONTGOMERY PC

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

## Provider details

- **NPI number:** 1336862176
- **Authorized official:** NIL DHANANI (OWNER)
- **Authorized official phone:** (484) 963-4766

## Contact information

- **Practice address:** 2874 RIDGE PIKE, EAGLEVILLE, PA 19403-1590
- **Practice address phone:** (484) 963-4766
- **Mailing address:** 2489 WELLINGTON WAY, HATFIELD, PA 19440-1489

## Taxonomy

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

## Other

- **Enumeration date:** 09/26/2022
- **Last updated:** 09/26/2022