Individual
DR. AMOGH BHALERAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
400 W ALLEGHENY AVE STE B1, PHILADELPHIA, PA 19133-3614
(215) 291-9200
Mailing address
4055 RIDGE AVE APT 8402, PHILADELPHIA, PA 19129-1666
(813) 585-1064
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS042408
PA
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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