Organization
DILIP N DUDHAT, DMD,PC
Active
Other names
Advanced Dental Esthetics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DILIP DUDHAT D.M.D. (OWNER)
(215) 997-2300
Entity
Organization
Contact information
Practice address
2406 N BROAD ST, COLMAR, PA 18915-9701
(215) 997-2300
(215) 997-0227
Mailing address
2406 N BROAD ST, COLMAR, PA 18915-9701
(215) 997-2300
(215) 997-0227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS029728L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136588
UNITED CONCORDIA ID
PA
01
—
28956
AETNA ID
PA
Enumeration date
05/10/2007
Last updated
06/13/2008
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