Organization
SKYS DENTAL ART LLC
Active
Other names
Maiden creek family dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHALATHA KANCHARLA DDS (OWNER)
(484) 366-3875
Entity
Organization
Contact information
Practice address
1032 PARK RD, BLANDON, PA 19510-9558
(610) 926-9300
Mailing address
1032 PARK RD, BLANDON, PA 19510-9558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS038394
PA
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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