Prospect Park Cosmetic Dentistry
Prospect Park Cosmetic Dentistry is a Dental Clinic/Center in Prospect Park, Pennsylvania. Licensed in New Jersey and Pennsylvania. Registered with an NPI since 2018.
- Licensed in
- NJ, PA
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
338 Lincoln AveProspect Park, PA 19076-2421
Phone: (610) 532-4145
Fax: (610) 532-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence DS037293 (PA) |
|---|---|
| Dental Clinic/Center | Taxonomy 261QD0000X · Licence 22DI02362100 (NJ) |
Record details
| NPI number | 1841792066 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shweta Gandhi — President · (610) 532-5000 |
| NPI enumerated | March 3, 2018 |
| Last updated in NPPES | March 3, 2018 |
| Mailing address | 338 Lincoln Ave, Prospect Park, PA 19076-2421 |