Organization
ELKINS PARK ORTHODONTIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATHEW K CHERIAN DDS (PRESIDENT)
(215) 635-0808
Entity
Organization
Contact information
Practice address
7900 OLD YORK RD, SUITE 108A, ELKINS PARK, PA 19027-2318
(215) 635-0808
Mailing address
7900 OLD YORK RD, SUITE 108A, ELKINS PARK, PA 19027-2318
(215) 635-0808
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS035070
PA
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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