Individual
SAMAA ADELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4 W BROOKHAVEN RD, BROOKHAVEN, PA 19015-1629
(708) 435-3119
Mailing address
241 BAILEY RD, BRYN MAWR, PA 19010-1339
(708) 435-3119
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS044696
PA
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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