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Organization

INDIAN VALLEY DENTAL ASSOCIATES

Active
Other names
Indian Valley Dental Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SPENCER JARED GROSSMAN DMD (OWNER)
(215) 704-4546
Entity
Organization

Contact information

Practice address
601 E BROAD ST, SUITE #200, SOUDERTON, PA 18964-1263
(215) 723-5531
(215) 721-9119
Mailing address
601 E BROAD ST, SUITE #200, SOUDERTON, PA 18964-1263
(215) 723-5531
(215) 721-9119

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS021793L
PA

Other

Enumeration date
11/28/2006
Last updated
02/10/2024
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