Organization
OPAL FAMILY DENTAL PC
Active
Other names
OPAL FAMILY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADARSH MODANI DDS (PRESIDENT)
(610) 558-0800
Entity
Organization
Contact information
Practice address
364 WILMINGTON PIKE STE A1, GLEN MILLS, PA 19342-1261
(610) 488-2922
Mailing address
364 WILMINGTON W CHESTER PIKE STE A1, GLEN MILLS, PA 19342-8207
(610) 558-0800
(610) 558-5848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/07/2019
Last updated
07/20/2021
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