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Organization
INDIAN VALLEY DENTAL ASSOCIATES
Active
Organization
INDIAN VALLEY DENTAL ASSOCIATES
Active
Other names
Indian Valley Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER JARED GROSSMAN DMD (OWNER)
(215) 704-4546
Entity
Organization
Contact information
Practice address
601 E BROAD ST, SUITE #200, SOUDERTON, PA 18964-1263
(215) 723-5531
(215) 721-9119
Mailing address
601 E BROAD ST, SUITE #200, SOUDERTON, PA 18964-1263
(215) 723-5531
(215) 721-9119
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS021793L
PA
Other
Enumeration date
11/28/2006
Last updated
02/10/2024
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