Organization
PA DENTAL GROUP LLC
Active
Other names
PA DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
PARUL TRIVEDI (MANAGER)
(215) 946-9400
Entity
Organization
Contact information
Practice address
320 N OXFORD VALLEY RD, FAIRLESS HILLS, PA 19030-2610
(215) 946-9400
(215) 946-9409
Mailing address
320 N OXFORD VALLEY RD, FAIRLESS HILLS, PA 19030-2610
(215) 946-9400
(215) 946-9409
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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