Individual
DR. BAHMAN SANIKHATAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
125 W CITY AVE, BALA CYNWYD, PA 19004-3103
(610) 667-7171
(610) 667-5121
Mailing address
125 W CITY AVE, BALA CYNWYD, PA 19004-3103
(610) 667-7171
(610) 667-5121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS024444L
PA
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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