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Organization

BUTLER PIKE PERIODONTAL ASSOCIATES, LLC

Active
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Organization

BUTLER PIKE PERIODONTAL ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHILIP L FAVA II DMD (OWNER)
(267) 643-4393
Entity
Organization

Contact information

Practice address
140 E BUTLER AVE, AMBLER, PA 19002-4427
(267) 643-4393
Mailing address
140 E BUTLER AVE, AMBLER, PA 19002-4427
(267) 643-4393

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—

Other

Enumeration date
12/11/2018
Last updated
12/21/2019
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