# BLUE BELL DENTAL ASSOC. PC

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

## Provider details

- **NPI number:** 1669686168
- **Authorized official:** MR. JITESH V BOGHARA (OWNER)
- **Authorized official phone:** (610) 278-0420

## Contact information

- **Practice address:** 1515 DEKALB PIKE SUITE 111, BLUE BELL, PA 19422-3367
- **Practice address phone:** (610) 278-0420
- **Practice address fax:** (610) 278-6938
- **Mailing address:** 1515 DEKALB PIKE SUITE 111, BLUE BELL, PA 19422
- **Mailing address phone:** (610) 278-0420
- **Mailing address fax:** (610) 278-6938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS029728L | PA | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 04/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1124033774 | DR. DILIP DUDHAT | PA |
| 01 | — | 1407041429 | DR. PADMA RAMAN | PA |
| 01 | — | 1588080105 | DR. ANKIT KARSALIA | PA |
| 01 | — | 1902970718 | DR. AIDA PASALIC | PA |