Organization
ADVANCED FAMILY DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW K CHERIAN DDS (PRESIDENT)
(215) 663-1223
Entity
Organization
Contact information
Practice address
327 TOWNSHIP LINE RD, ELKINS PARK, PA 19027-2222
(215) 663-1223
(215) 663-1299
Mailing address
327 TOWNSHIP LINE RD, ELKINS PARK, PA 19027-2222
(215) 663-1223
(215) 663-1299
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023152710001
—
PA
Enumeration date
06/29/2009
Last updated
02/02/2011
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