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Organization
ADVANCE COSMETIC AND GENERAL DENTISTRY LLC
Active
Organization
ADVANCE COSMETIC AND GENERAL DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVIN SHAH DDS (PRESIDENT)
(732) 491-6437
Entity
Organization
Contact information
Practice address
3455 STREET RD, STOC#6, BENSALEM, PA 19020-1542
(732) 491-6437
Mailing address
101 DORSET AVE, CROYDON, PA 19021-6224
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS037553
PA
Other
Enumeration date
03/05/2017
Last updated
03/05/2017
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