# MY FAVORITE DENTAL CLINIC LLC

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

## Provider details

- **NPI number:** 1952785743
- **Authorized official:** DR. HUIFANG MA (OWNER)
- **Authorized official phone:** (267) 663-8699

## Contact information

- **Practice address:** 508 PRUDENTIAL RD, SUITE 300, HORSHAM, PA 19044-2309
- **Practice address phone:** (267) 663-8699
- **Mailing address:** 508 PRUDENTIAL RD, SUITE 300, HORSHAM, PA 19044-2309
- **Mailing address phone:** (267) 663-8699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS039534 | PA | Yes |

## Other

- **Enumeration date:** 07/13/2015
- **Last updated:** 07/13/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 102813274-0001 | — | PA |