Organization
DENTAL CLOUD
Active
Other names
brookline dental associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMERA MUMTAZ DMD (OWNER)
(610) 314-8881
Entity
Organization
Contact information
Practice address
40 BROOKLINE BLVD, HAVERTOWN, PA 19083-3802
(610) 314-8881
Mailing address
40 BROOKLINE BLVD, HAVERTOWN, PA 19083-3802
(610) 314-8881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS037769
PA
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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