| Northeastern Dentistry @ Clifton Heights | |
|
44 W Baltimore Ave Clifton Heights PA 19018-2201 | |
| (610) 622-2684 | |
| (877) 707-5571 |
| Full Name | Northeastern Dentistry @ Clifton Heights |
|---|---|
| Speciality | Dentist |
| Location | 44 W Baltimore Ave, Clifton Heights, Pennsylvania |
| Authorized Official Name and Position | Kavitha Chadhalavada (OWNER DENTIST) |
| Authorized Official Contact | 8563250560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeastern Dentistry @ Clifton Heights 44 W Baltimore Ave Clifton Heights PA 19018-2201 Ph: (610) 622-2684 | Northeastern Dentistry @ Clifton Heights 44 W Baltimore Ave Clifton Heights PA 19018-2201 Ph: (610) 622-2684 |
| NPI Number | 1881947505 |
|---|---|
| Provider Enumeration Date | 10/18/2012 |
| Last Update Date | 07/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881947505 | NPI | - | NPPES |
| 1020256650008 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS037335 (Pennsylvania) | Primary |
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