Organization
ADVANCED DENTISTRY OF MAIN LINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DILIP DUDHAT DMD (PRESIDENT)
(215) 390-4672
Entity
Organization
Contact information
Practice address
365 LANCASTER AVE STE 5, MALVERN, PA 19355-1867
(610) 993-8770
Mailing address
365 LANCASTER AVE STE 5, MALVERN, PA 19355-1867
(610) 993-8770
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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