Organization
SANI KHATAM & ANDERSON PC
Active
Other names
Bala Oral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAHMAN SANI KHATAM DMD (OWNER)
(610) 667-7171
Entity
Organization
Contact information
Practice address
125 W CITY AVENUE, BALA CYNWYD, PA 19004
(610) 667-7171
(610) 667-5121
Mailing address
125 W CITY AVENUE, BALA CYNWYD, PA 19004
(610) 667-7171
(610) 667-5121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS024444L
PA
122300000X
Dentist
DS026658L
PA
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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