Individual
MEENA MEMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(601) 664-3498
Mailing address
1309 N WOODBINE AVE, PENN VALLEY, PA 19072-1240
(601) 664-3498
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS040868
PA
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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