Organization
BUTLER PIKE PERIODONTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP L FAVA II DMD (OWNER)
(267) 643-4393
Entity
Organization
Contact information
Practice address
140 E BUTLER AVE, AMBLER, PA 19002-4427
(267) 643-4393
Mailing address
140 E BUTLER AVE, AMBLER, PA 19002-4427
(267) 643-4393
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
12/21/2019
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