Individual
DR. GHOLAMREZA MEMARSADEGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
333 S. OXFORD VALLEY RD., STE.#505, FAIRLESS HILLS, PA 19030
(215) 269-1430
(215) 269-4622
Mailing address
333 S. OXFORD VALLEY RD., STE.#505, FAIRLESS HILLS, PA 19030
(215) 269-1430
(215) 269-4622
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS029768-L
PA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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