# BROOKHAVEN FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DREXEL HILL FAMILY DENTISTRY
- **Other names:** Center for Family & Cosmetic Dentistry at Brookhaven
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790015287
- **Legal business name:** DREXEL HILL FAMILY DENTISTRY
- **Authorized official:** DR. DINESH S TEWARI DMD (PRESIDENT)
- **Authorized official phone:** (610) 457-5671

## Contact information

- **Practice address:** 4 W BROOKHAVEN RD, BROOKHAVEN, PA 19015-1629
- **Practice address phone:** (610) 457-5671
- **Practice address fax:** (610) 876-6774
- **Mailing address:** 4 W BROOKHAVEN RD, BROOKHAVEN, PA 19015-1629
- **Mailing address phone:** (610) 457-5671
- **Mailing address fax:** (610) 876-6774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS0 35539 | PA | Yes |

## Other

- **Enumeration date:** 01/05/2010
- **Last updated:** 01/05/2010
