Organization
NORTHEAST AESTHETIC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKASH ASHOK BAROT D.D.S. (MANAGING DIRECTOR)
(215) 908-1278
Entity
Organization
Contact information
Practice address
7519 TORRESDALE AVE, PHILADELPHIA, PA 19136-3335
(215) 335-2220
Mailing address
7519 TORRESDALE AVE, PHILADELPHIA, PA 19136-3335
(215) 335-2220
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2014
Last updated
06/20/2014
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