# FRANKLIN MILLS MALL DENTAL

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

## Provider details

- **NPI number:** 1831426170
- **Authorized official:** DR. SHREYAS SHAH D.D.S. (DENTIST)
- **Authorized official phone:** (215) 632-7700

## Contact information

- **Practice address:** 1120 FRANKLIN MILLS CIR, PHILADELPHIA, PA 19154-3128
- **Practice address phone:** (215) 632-7700
- **Practice address fax:** (215) 632-7709
- **Mailing address:** 1120 FRANLKIN MILLS CIRCLE, FRANKLIN MILLS DENTAL, PHILADELPHIA, PA 19154
- **Mailing address phone:** (215) 632-7700
- **Mailing address fax:** (215) 632-7709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS037088 | PA | Yes |
| 122300000X | Dentist | DS037098 | PA | — |

## Other

- **Enumeration date:** 11/06/2009
- **Last updated:** 11/06/2009