Organization
MEDIA DENTAL ASSOCIATES DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JITEN P GOHEL DMD (PRESIDENT/OWNER)
(610) 565-0525
Entity
Organization
Contact information
Practice address
511 N PROVIDENCE RD, MEDIA, PA 19063-2518
(610) 565-0525
(610) 565-4724
Mailing address
511 N PROVIDENCE RD, MEDIA, PA 19063-2518
(610) 565-0525
(610) 565-4724
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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