| Collingdale Dental Associates | |
|
224 Clifton Ave Collingdale PA 19023-3712 | |
| (610) 583-3454 | |
| Not Available |
| Full Name | Collingdale Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 224 Clifton Ave, Collingdale, Pennsylvania |
| Authorized Official Name and Position | Aakash C Mudaliar (VICE PRESIDENT) |
| Authorized Official Contact | 5703098223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collingdale Dental Associates 224 Clifton Ave Collingdale PA 19023-3712 Ph: (610) 583-3454 | Collingdale Dental Associates 224 Clifton Ave Collingdale PA 19023-3712 Ph: (610) 583-3454 |
| NPI Number | 1124521646 |
|---|---|
| Provider Enumeration Date | 03/11/2018 |
| Last Update Date | 03/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124521646 | NPI | - | NPPES |
| DS041461 | Other | PA | PENNSYLVANIA STATE BOARD OF DENTISTRY |
| DS038564 | Other | PA | PENNSYLVANIA STATE BOARD OF DENTISTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS038564 (Pennsylvania) | Primary |
| 261QD0000X | Clinic/center - Dental | DS041461 (Pennsylvania) | Secondary |
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