Organization
MAIN STREET DENTAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANJELIKA MARTI BAGDASAROV DMD (DMD OWNER)
(305) 632-9942
Entity
Organization
Contact information
Practice address
307 E MAIN ST, COLLEGEVILLE, PA 19426-2604
(610) 489-2037
Mailing address
307 E MAIN ST, COLLEGEVILLE, PA 19426-2604
(610) 489-2037
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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