Organization
FORT WASHINGTON FAMILY & COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH A MIRTAJ (DMD)
(215) 643-0300
Entity
Organization
Contact information
Practice address
428 PENNSYLVANIA AVE, FORT WASHINGTON, PA 19034-3413
(215) 643-0300
Mailing address
428 PENNSYLVANIA AVE, FORT WASHINGTON, PA 19034-3413
(215) 643-0300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DX001840
PA
Other
Enumeration date
06/04/2007
Last updated
08/22/2020
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