| Media Dental Associates Dmd Llc | |
|
511 N Providence Rd Media PA 19063-2518 | |
| (610) 565-0525 | |
| (610) 565-4724 |
| Full Name | Media Dental Associates Dmd Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 511 N Providence Rd, Media, Pennsylvania |
| Authorized Official Name and Position | Jiten P Gohel (PRESIDENT/OWNER) |
| Authorized Official Contact | 6105650525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Media Dental Associates Dmd Llc 511 N Providence Rd Media PA 19063-2518 Ph: (610) 565-0525 | Media Dental Associates Dmd Llc 511 N Providence Rd Media PA 19063-2518 Ph: (610) 565-0525 |
| NPI Number | 1699231118 |
|---|---|
| Provider Enumeration Date | 02/20/2019 |
| Last Update Date | 02/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699231118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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