Blue Bell Dental Assoc. Pc | |
1515 Dekalb Pike Suite 111 Blue Bell PA 19422-3367 | |
(610) 278-0420 | |
(610) 278-6938 |
Full Name | Blue Bell Dental Assoc. Pc |
---|---|
Speciality | Dentist |
Location | 1515 Dekalb Pike Suite 111, Blue Bell, Pennsylvania |
Authorized Official Name and Position | Jitesh V Boghara (OWNER) |
Authorized Official Contact | 6102780420 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Blue Bell Dental Assoc. Pc 1515 Dekalb Pike Suite 111 Blue Bell PA 19422 Ph: (610) 278-0420 | Blue Bell Dental Assoc. Pc 1515 Dekalb Pike Suite 111 Blue Bell PA 19422-3367 Ph: (610) 278-0420 |
NPI Number | 1669686168 |
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Provider Enumeration Date | 05/10/2007 |
Last Update Date | 04/26/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669686168 | NPI | - | NPPES |
1902970718 | Other | PA | DR. AIDA PASALIC |
1588080105 | Other | PA | DR. ANKIT KARSALIA |
1407041429 | Other | PA | DR. PADMA RAMAN |
1124033774 | Other | PA | DR. DILIP DUDHAT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DS029728L (Pennsylvania) | Primary |
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