Organization
PRIME TIME DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOB SULIMANOV (MANAGER)
(610) 277-7645
Entity
Organization
Contact information
Practice address
1548 DEKALB ST, NORRISTOWN, PA 19401-3425
(610) 277-7645
(610) 277-7644
Mailing address
1548 DEKALB ST, NORRISTOWN, PA 19401-3425
(610) 277-7645
(610) 277-7644
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
00389NO07133833
PA
Other
Enumeration date
06/12/2011
Last updated
07/26/2011
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