Organization
PENNRIDGE DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH A MIRTAJ DMD (OWNER)
(215) 257-4447
Entity
Organization
Contact information
Practice address
120 N. MAIN STREET, SELLERSVILLE, PA 18960-2327
(215) 257-4447
(215) 453-7470
Mailing address
55 N MAIN ST, SELLERSVILLE, PA 18960-2327
(215) 257-4447
(215) 453-7470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS028963L
PA
Other
Enumeration date
07/20/2006
Last updated
10/15/2021
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