| Pristinedental Center Pc | |
|
392 Avon Rd Upper Darby PA 19082-4702 | |
| (610) 352-0500 | |
| Not Available |
| Full Name | Pristinedental Center Pc |
|---|---|
| Speciality | Dentist |
| Location | 392 Avon Rd, Upper Darby, Pennsylvania |
| Authorized Official Name and Position | Dhaval Shah (DENTIST) |
| Authorized Official Contact | 6103520500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pristinedental Center Pc 392 Avon Rd Upper Darby PA 19082-4702 Ph: (610) 352-0500 | Pristinedental Center Pc 392 Avon Rd Upper Darby PA 19082-4702 Ph: (610) 352-0500 |
| NPI Number | 1619455219 |
|---|---|
| Provider Enumeration Date | 08/06/2018 |
| Last Update Date | 06/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619455219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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