Organization
COMPLETE CARE FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHALATHA KANCHARLA DDS (MEMBER)
(484) 366-3775
Entity
Organization
Contact information
Practice address
6001 CHESTER AVE, PHILADELPHIA, PA 19142-1410
(484) 366-3775
Mailing address
6001 CHESTER AVE, PHILADELPHIA, PA 19142-1410
(484) 366-3775
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS038394
PA
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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