Organization
BLUE BELL DENTAL ASSOC. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JITESH V BOGHARA (OWNER)
(610) 278-0420
Entity
Organization
Contact information
Practice address
1515 DEKALB PIKE SUITE 111, BLUE BELL, PA 19422-3367
(610) 278-0420
(610) 278-6938
Mailing address
1515 DEKALB PIKE SUITE 111, BLUE BELL, PA 19422
(610) 278-0420
(610) 278-6938
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS029728L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124033774
DR. DILIP DUDHAT
PA
01
—
1407041429
DR. PADMA RAMAN
PA
01
—
1588080105
DR. ANKIT KARSALIA
PA
01
—
1902970718
DR. AIDA PASALIC
PA
Enumeration date
05/10/2007
Last updated
04/26/2022
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