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Organization
ORANGE ST DENTAL ASSOCIATES LLC
Active
Organization
ORANGE ST DENTAL ASSOCIATES LLC
Active
Other names
Media Hometown Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHEEN SHAFAGH DMD (OWNER)
(610) 733-8877
Entity
Organization
Contact information
Practice address
2 S ORANGE ST, MEDIA, PA 19063-2619
(610) 572-3422
Mailing address
2 S ORANGE ST, MEDIA, PA 19063-2619
(610) 572-3422
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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