Individual
DR. BITA KHOSHROU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
604 S WASHINGTON SQUARE, PHILADELPHIA, PA 19106
(855) 342-5336
Mailing address
401 COMMERCE DRIVE, SUITE 108, FORT WASHINGTON, PA 19034
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS040269
PA
Other
Enumeration date
03/13/2015
Last updated
04/24/2015
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