Organization
CENTER ONE DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JATIN MOVALIA MANAGER (MANAGER/PRESIDENT)
(215) 673-4888
Entity
Organization
Contact information
Practice address
9880 BUSTLETON AVE STE 213, PHILADELPHIA, PA 19115-2143
(215) 464-4888
Mailing address
9880 BUSTLETON AVE STE 213, PHILADELPHIA, PA 19115-2143
(215) 464-4888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
01/02/2019
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