# ADVANCED DENTISTRY OF MAIN LINE PC

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

## Provider details

- **NPI number:** 1518583418
- **Authorized official:** DILIP DUDHAT DMD (PRESIDENT)
- **Authorized official phone:** (215) 390-4672

## Contact information

- **Practice address:** 365 LANCASTER AVE STE 5, MALVERN, PA 19355-1867
- **Practice address phone:** (610) 993-8770
- **Mailing address:** 365 LANCASTER AVE STE 5, MALVERN, PA 19355-1867
- **Mailing address phone:** (610) 993-8770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/17/2020
- **Last updated:** 06/17/2020