Organization
AMERICAN DENTAL GROUP P.C.
Active
Parent organization
AMERICAN DENTAL GROUP P.C.
Other names
Suburban Dental Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERICAN DENTAL GROUP P.C.
Authorized official
MR. MAHENDRA KAKADIA (GENERAL MANAGER)
(646) 725-3939
Entity
Organization
Contact information
Practice address
1621 N CEDAR CREST BLVD STE 117, ALLENTOWN, PA 18104-2312
(610) 820-9900
Mailing address
1621 N CEDAR CREST BLVD STE 117, ALLENTOWN, PA 18104-2312
(610) 820-9900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS036851
PA
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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