Organization
AMERICAN FAMILY DENTAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHI LE (CREDENTIALING SPECIALIST)
(215) 529-6000
Entity
Organization
Contact information
Practice address
405 CRESSON BLVD, SUITE # 210, OAKS, PA 19456
(610) 482-4334
(610) 539-1055
Mailing address
401 COMMERCE DR, SUITE 108, FORT WASHINGTON, PA 19034-2714
(215) 529-6000
(215) 646-6369
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS-029417-L
PA
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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