Organization
ADVANCED DENTAL CONCEPTS OF BROOMALL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KETAV R SHAH (VICE PRESIDENT)
(610) 353-6161
Entity
Organization
Contact information
Practice address
2193 W CHESTER PIKE, BROOMALL, PA 19008-3029
(610) 353-6161
Mailing address
2193 W CHESTER PIKE, BROOMALL, PA 19008-3029
(610) 353-6161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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