Organization
ORANGE ST DENTAL ASSOCIATES LLC
Active
Other names
Media Hometown Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHEEN SHAFAGH DMD (OWNER)
(610) 733-8877
Entity
Organization
Contact information
Practice address
2 S ORANGE ST, MEDIA, PA 19063-2619
(610) 572-3422
Mailing address
2 S ORANGE ST, MEDIA, PA 19063-2619
(610) 572-3422
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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