Organization
PA DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRIYA BAROT (OFFICE 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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005292490001
—
PA
05
—
1023255360001
—
PA
05
—
1023265700001
—
PA
05
—
1023761790001
—
PA
Enumeration date
11/08/2009
Last updated
11/08/2009
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