| Providence Endodontics Llc | |
|
450 Cresson Blvd, Suite 303 Oaks PA 19456-1218 | |
| (610) 676-9030 | |
| (610) 676-9032 |
| Full Name | Providence Endodontics Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 450 Cresson Blvd,, Oaks, Pennsylvania |
| Authorized Official Name and Position | Meetu Ralli Kohli (PARTNER) |
| Authorized Official Contact | 6106769030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Endodontics Llc 450 Cresson Blvd, Suite 303, P.o.box 1218 Oaks PA 19456-1218 Ph: (610) 676-9030 | Providence Endodontics Llc 450 Cresson Blvd, Suite 303 Oaks PA 19456-1218 Ph: (610) 676-9030 |
| NPI Number | 1154548857 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154548857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (Pennsylvania) | Primary |
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Allied Orthodontics, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Cresson Blvd, Suite 210, Oaks, PA 19456 Phone: 610-482-4334 Fax: 610-539-1055 |