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Organization
ELKINS PARK ORAL SURGERY, INC
Active
Organization
ELKINS PARK ORAL SURGERY, INC
Active
Other names
Elkins Park Dental Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATHEW CHERIAN DDS (PRESIDENT)
(215) 663-1223
Entity
Organization
Contact information
Practice address
7900 OLD YORK RD, 115 A, ELKINS PARK, PA 19027-2318
(215) 635-0808
Mailing address
7900 OLD YORK RD, 115 A, ELKINS PARK, PA 19027-2318
(215) 635-0808
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DS037551
PA
Other
Enumeration date
03/05/2013
Last updated
08/13/2013
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