# COMPLETE CARE FAMILY DENTISTRY, LLC

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

## Provider details

- **NPI number:** 1558703157
- **Authorized official:** ASHALATHA KANCHARLA DDS (MEMBER)
- **Authorized official phone:** (484) 366-3775

## Contact information

- **Practice address:** 6001 CHESTER AVE, PHILADELPHIA, PA 19142-1410
- **Practice address phone:** (484) 366-3775
- **Mailing address:** 6001 CHESTER AVE, PHILADELPHIA, PA 19142-1410
- **Mailing address phone:** (484) 366-3775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS038394 | PA | Yes |

## Other

- **Enumeration date:** 07/24/2013
- **Last updated:** 07/24/2013