# ADVANCE COSMETIC AND GENERAL DENTISTRY LLC

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

## Provider details

- **NPI number:** 1376083717
- **Authorized official:** BHAVIN SHAH DDS (PRESIDENT)
- **Authorized official phone:** (732) 491-6437

## Contact information

- **Practice address:** 3455 STREET RD, STOC\#6, BENSALEM, PA 19020-1542
- **Practice address phone:** (732) 491-6437
- **Mailing address:** 101 DORSET AVE, CROYDON, PA 19021-6224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS037553 | PA | Yes |

## Other

- **Enumeration date:** 03/05/2017
- **Last updated:** 03/05/2017