# NEW FALLS DENTAL GROUP, LLC

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

## Provider details

- **NPI number:** 1689983165
- **Authorized official:** DR. KHURRAM SIDDIQUI D.M.D. (DENTIST)
- **Authorized official phone:** (215) 945-5199

## Contact information

- **Practice address:** 7419 NEW FALLS RD, LEVITTOWN, PA 19055-1008
- **Practice address phone:** (215) 945-5199
- **Mailing address:** 7419 NEW FALLS RD, LEVITTOWN, PA 19055-1008
- **Mailing address phone:** (215) 945-5199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS037654 | PA | Yes |

## Other

- **Enumeration date:** 09/30/2010
- **Last updated:** 09/30/2010