Organization
FAIRVIEW FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EHAB S MINA D.M.D. (OWNER)
(610) 630-2373
Entity
Organization
Contact information
Practice address
1009 VALLEY FORGE RD, NORRISTOWN, PA 19403-1022
(610) 630-2373
(610) 630-5682
Mailing address
1009 VALLEY FORGE RD, NORRISTOWN, PA 19403-1022
(610) 630-2373
(610) 630-5682
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS030144L
PA
Other
Enumeration date
11/21/2006
Last updated
05/07/2013
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