| Orange St Dental Associates Llc | |
|
2 S Orange St Media PA 19063-2619 | |
| (610) 572-3422 | |
| Not Available |
| Full Name | Orange St Dental Associates Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2 S Orange St, Media, Pennsylvania |
| Authorized Official Name and Position | Shaheen Shafagh (OWNER) |
| Authorized Official Contact | 6107338877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange St Dental Associates Llc 2 S Orange St Media PA 19063-2619 Ph: (610) 572-3422 | Orange St Dental Associates Llc 2 S Orange St Media PA 19063-2619 Ph: (610) 572-3422 |
| NPI Number | 1902659006 |
|---|---|
| Provider Enumeration Date | 04/09/2024 |
| Last Update Date | 04/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902659006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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