Organization
UPPER DARBY FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANJUM MOHAMMAD (MANAGER)
(610) 379-3001
Entity
Organization
Contact information
Practice address
37 GARRETT RD UNIT B, UPPER DARBY, PA 19082-2302
(610) 379-3001
Mailing address
37 GARRETT RD UNIT B, UPPER DARBY, PA 19082-2302
(610) 379-3001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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