# UPPER DARBY FAMILY DENTAL LLC

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

## Provider details

- **NPI number:** 1740763762
- **Authorized official:** ANJUM MOHAMMAD (MANAGER)
- **Authorized official phone:** (610) 379-3001

## Contact information

- **Practice address:** 37 GARRETT RD UNIT B, UPPER DARBY, PA 19082-2302
- **Practice address phone:** (610) 379-3001
- **Mailing address:** 37 GARRETT RD UNIT B, UPPER DARBY, PA 19082-2302
- **Mailing address phone:** (610) 379-3001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/14/2018
- **Last updated:** 09/14/2018