Organization
MEDIA DENTAL ASSOCIATES DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JITEN GOHEL DMD (CEO)
(610) 701-0102
Entity
Organization
Contact information
Practice address
511 N PROVIDENCE RD, MEDIA, PA 19063
(610) 701-0102
Mailing address
511 N PROVIDENCE RD, MEDIA, PA 19063
(610) 701-0102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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