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Organization
FAIRMONT DENTAL ASSOCIATES PC
Active
Organization
FAIRMONT DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY N KALOLA DMD (OWNER)
(610) 435-1288
Entity
Organization
Contact information
Practice address
1414 W FAIRMONT ST, ALLENTOWN, PA 18102-1021
(610) 435-1288
(610) 435-5451
Mailing address
1414 W FAIRMONT ST, ALLENTOWN, PA 18102-1021
(610) 435-1288
(610) 435-5451
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS012453L
PA
122300000X
Dentist
DS016583L
PA
122300000X
Dentist
Primary
DS020234A
PA
122300000X
Dentist
DS037274
PA
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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