# GREEN HILLS FAMILY & COSMETIC DENTISTRY, P.C.

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

## Provider details

- **NPI number:** 1780745471
- **Authorized official:** DR. ARI REUBEN FORGOSH D.M.D. (PRESIDENT)
- **Authorized official phone:** (610) 395-0980

## Contact information

- **Practice address:** 1150 GLENLIVET DR, SUITE C-38, ALLENTOWN, PA 18106-3112
- **Practice address phone:** (610) 395-0980
- **Practice address fax:** (484) 223-1933
- **Mailing address:** 1150 GLENLIVET DR, SUITE C-38, ALLENTOWN, PA 18106-3112
- **Mailing address phone:** (610) 395-0980
- **Mailing address fax:** (484) 223-1933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS031179L | PA | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 08/22/2020