Organization
ADVANCED AND ELITE DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DILIP N DUDHAT DMD (PRESIDENT)
(215) 237-6099
Entity
Organization
Contact information
Practice address
201 SECOND AVE, COLLEGEVILLE, PA 19426-3613
(610) 454-7991
Mailing address
201 SECOND AVE, COLLEGEVILLE, PA 19426-3613
(610) 454-7991
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS029728L
PA
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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