Organization
GLENMOORE FAMILY DENTISTRY
Active
Other names
Glenmoore Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHALATHA KANCHARLA DDS (OWNER)
(484) 558-8123
Entity
Organization
Contact information
Practice address
2926 CONESTOGA RD, GLENMOORE, PA 19343-9516
(484) 558-8123
Mailing address
2926 CONESTOGA RD, GLENMOORE, PA 19343-9516
(484) 558-8123
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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