Organization
JP GOHEL DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN E TUINEI (CREDENTIALING MANAGER)
(602) 750-6897
Entity
Organization
Contact information
Practice address
316 FAYETTE ST STE 100, CONSHOHOCKEN, PA 19428-1941
(610) 828-1640
Mailing address
316 FAYETTE ST STE 100, CONSHOHOCKEN, PA 19428-1941
(610) 828-1640
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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