Organization
ADVANCED DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA ASSAD D.M.D. (DENTIST)
(610) 640-9500
Entity
Organization
Contact information
Practice address
250 W LANCASTER AVE, SUITE 240, PAOLI, PA 19301-1743
(610) 640-9500
Mailing address
250 W LANCASTER AVE, SUITE 240, PAOLI, PA 19301-1743
(610) 640-9500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-029820-L
PA
1223P0300X
Periodontics
DS-029820-L
PA
Other
Enumeration date
05/06/2007
Last updated
09/11/2025
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