Organization
ADVANCE COSMETIC AND GENERAL DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVIN SHAH DDS (PRESIDENT)
(732) 491-6437
Entity
Organization
Contact information
Practice address
3455 STREET RD, STOC#6, BENSALEM, PA 19020-1542
(732) 491-6437
Mailing address
101 DORSET AVE, CROYDON, PA 19021-6224
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS037553
PA
Other
Enumeration date
03/05/2017
Last updated
03/05/2017
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