Organization
FOX RIDGE DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERSAD NIK HOORFAR DMD (OWNER/DENTIST)
(484) 973-6567
Entity
Organization
Contact information
Practice address
292 W RIDGE PIKE, BLDG B 2ND FL, LIMERICK, PA 19468-3716
(484) 973-6567
(484) 973-6573
Mailing address
292 W RIDGE PIKE, BLDG B 2ND FL, LIMERICK, PA 19468-3716
(484) 973-6567
(484) 973-6573
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS029513L
PA
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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