# CENTER ONE DENTAL ASSOCIATES PC

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

## Provider details

- **NPI number:** 1972074250
- **Authorized official:** MR. JATIN MOVALIA MANAGER (MANAGER/PRESIDENT)
- **Authorized official phone:** (215) 673-4888

## Contact information

- **Practice address:** 9880 BUSTLETON AVE STE 213, PHILADELPHIA, PA 19115-2143
- **Practice address phone:** (215) 464-4888
- **Mailing address:** 9880 BUSTLETON AVE STE 213, PHILADELPHIA, PA 19115-2143
- **Mailing address phone:** (215) 464-4888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/11/2018
- **Last updated:** 01/02/2019