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Organization

FLORAL VALE DENTAL EXCELLENCE

Active
Other names
Advanced Dental Excellence
Organization subpart
No

Provider details

NPI number
Authorized official
JAY DUDHAT (OFFICE MANAGER)
(215) 860-4600
Entity
Organization

Contact information

Practice address
117 FLORAL VALE BLVD, SUITE C, YARDLEY, PA 19067-5522
(215) 860-4600
(215) 860-1455
Mailing address
117 FLORAL VALE BLVD, SUITE C, YARDLEY, PA 19067-5522
(215) 860-4600
(215) 860-1455

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
029728
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1
PRIVATE DENTAL PRACTICE
PA
Enumeration date
11/09/2007
Last updated
11/09/2007
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