Organization
NEW FALLS DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHURRAM SIDDIQUI D.M.D. (DENTIST)
(215) 945-5199
Entity
Organization
Contact information
Practice address
7419 NEW FALLS RD, LEVITTOWN, PA 19055-1008
(215) 945-5199
Mailing address
7419 NEW FALLS RD, LEVITTOWN, PA 19055-1008
(215) 945-5199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037654
PA
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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