# DENTAL CLOUD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** brookline dental associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700331253
- **Authorized official:** DR. SAMERA MUMTAZ DMD (OWNER)
- **Authorized official phone:** (610) 314-8881

## Contact information

- **Practice address:** 40 BROOKLINE BLVD, HAVERTOWN, PA 19083-3802
- **Practice address phone:** (610) 314-8881
- **Mailing address:** 40 BROOKLINE BLVD, HAVERTOWN, PA 19083-3802
- **Mailing address phone:** (610) 314-8881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS037769 | PA | Yes |

## Other

- **Enumeration date:** 08/24/2016
- **Last updated:** 08/24/2016