Elkins Park Dental Specialist | |
7900 Old York Rd 115 A Elkins Park PA 19027-2318 | |
(215) 635-0808 | |
Not Available |
Full Name | Elkins Park Dental Specialist |
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Speciality | Dentist - Oral And Maxillofacial Pathology |
Location | 7900 Old York Rd, Elkins Park, Pennsylvania |
Authorized Official Name and Position | Mathew Cherian (PRESIDENT) |
Authorized Official Contact | 2156631223 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elkins Park Dental Specialist 7900 Old York Rd 115 A Elkins Park PA 19027-2318 Ph: (215) 635-0808 | Elkins Park Dental Specialist 7900 Old York Rd 115 A Elkins Park PA 19027-2318 Ph: (215) 635-0808 |
NPI Number | 1689915316 |
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Provider Enumeration Date | 03/05/2013 |
Last Update Date | 08/13/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689915316 | NPI | - | NPPES |
1022041470033 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0106X | Dentist - Oral And Maxillofacial Pathology | DS037551 (Pennsylvania) | Primary |
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Elkins Park Orthodontist Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7900 Old York Rd, Suite 108a, Elkins Park, PA 19027 Phone: 215-808-6473 Fax: 215-638-0907 | |
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