Organization
PROVIDENCE ENDODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEETU RALLI KOHLI D.M.D (PARTNER)
(610) 676-9030
Entity
Organization
Contact information
Practice address
450 CRESSON BLVD,, SUITE 303, OAKS, PA 19456-1218
(610) 676-9030
(610) 676-9032
Mailing address
450 CRESSON BLVD,, SUITE 303, P.O.BOX 1218, OAKS, PA 19456-1218
(610) 676-9030
(610) 676-9032
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
PA
Other
Enumeration date
04/20/2007
Last updated
07/21/2022
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