Organization
AFTON FAMILY DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKUNJ ZALAVADIA DMD (PRESIDENT)
(215) 462-6229
Entity
Organization
Contact information
Practice address
1815 S BROAD ST, PHILADELPHIA, PA 19148-2115
(215) 462-6229
Mailing address
1815 S BROAD ST, PHILADELPHIA, PA 19148-2115
(215) 462-6229
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037902
PA
Other
Enumeration date
10/14/2009
Last updated
11/10/2009
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