# MOKTAN DENTAL CARE

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

## Provider details

- **NPI number:** 1417975343
- **Authorized official:** MR. HRIDAI MOKTAN (BUSINESS MANAGER & DIRECTOR)
- **Authorized official phone:** (610) 363-7550

## Contact information

- **Practice address:** 105 COEWAY LN, EXTON, PA 19341-2240
- **Practice address phone:** (610) 363-7550
- **Practice address fax:** (610) 363-7551
- **Mailing address:** 105 COEWAY LN, EXTON, PA 19341-2240
- **Mailing address phone:** (610) 363-7550
- **Mailing address fax:** (610) 363-7551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS031048L | PA | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 09/28/2015