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Organization
SKYS DENTAL ART LLC
Active
Organization
SKYS DENTAL ART LLC
Active
Other names
Maiden creek family dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHALATHA KANCHARLA DDS (OWNER)
(484) 366-3875
Entity
Organization
Contact information
Practice address
1032 PARK RD, BLANDON, PA 19510-9558
(610) 926-9300
Mailing address
1032 PARK RD, BLANDON, PA 19510-9558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS038394
PA
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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