# OPAL FAMILY DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OPAL FAMILY DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841753902
- **Authorized official:** DR. ADARSH MODANI DDS (PRESIDENT)
- **Authorized official phone:** (610) 558-0800

## Contact information

- **Practice address:** 364 WILMINGTON PIKE STE A1, GLEN MILLS, PA 19342-1261
- **Practice address phone:** (610) 488-2922
- **Mailing address:** 364 WILMINGTON W CHESTER PIKE STE A1, GLEN MILLS, PA 19342-8207
- **Mailing address phone:** (610) 558-0800
- **Mailing address fax:** (610) 558-5848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/07/2019
- **Last updated:** 07/20/2021