Organization
KT DENTAL LLC
Active
Other names
INNOVATIVE DENTAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM L TRAN DMD (DENTIST)
(610) 325-1670
Entity
Organization
Contact information
Practice address
2002 SPROUL RD STE 100, BROOMALL, PA 19008-3510
(610) 325-1670
Mailing address
2002 SPROUL RD STE 100, BROOMALL, PA 19008-3510
(610) 325-1670
(610) 325-1675
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2018
Last updated
01/05/2021
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