Organization
PENROSE FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KETAV SHAH (OFFICE MANAGER)
(610) 200-9200
Entity
Organization
Contact information
Practice address
1831 W CHELTENHAM AVE, ELKINS PARK, PA 19027-1049
(610) 200-9200
Mailing address
1831 W CHELTENHAM AVE, ELKINS PARK, PA 19027-1049
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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