Organization
MEMAR DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OQBA MEMAR DMD (GENERAL DENTIST)
(610) 325-4444
Entity
Organization
Contact information
Practice address
1999 SPROUL RD STE 15, BROOMALL, PA 19008-3508
(610) 325-4444
(610) 325-6993
Mailing address
1999 SPROUL RD STE 15, BROOMALL, PA 19008-3508
(610) 325-4444
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS039575
PA
Other
Enumeration date
09/16/2017
Last updated
08/12/2023
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