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Organization
PAOLI FAMILY DENTISTRY LLC
Active
Organization
PAOLI FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SEPEHR AGUBEGI DMD (DENTIST/OWNER)
(610) 647-0353
Entity
Organization
Contact information
Practice address
1410 RUSSELL ROAD, SUITE 203, PAOLI, PA 19301
(610) 647-0353
(610) 647-3946
Mailing address
1410 RUSSELL ROAD, SUITE 203, PAOLI, PA 19301
(610) 647-0353
(610) 647-3946
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-030859-L
PA
1223G0001X
General Practice Dentistry
DS020247L
PA
1223G0001X
General Practice Dentistry
DS037487
PA
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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