Organization
JUSTA FARM DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD JAY FISHMAN DMD, FAGD (OWNER)
(215) 322-8711
Entity
Organization
Contact information
Practice address
1946 COUNTY LINE RD, HUNTINGDON VALLEY, PA 19006-1738
(215) 322-8711
(215) 322-8789
Mailing address
1946 COUNTY LINE RD, HUNTINGDON VALLEY, PA 19006-1738
(215) 322-8711
(215) 322-8789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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