Provider Demographics
NPI:1598244881
Name:MARAL I SEROON LLC
Entity Type:Organization
Organization Name:MARAL I SEROON LLC
Other - Org Name:JOY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MARAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SEROON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-348-1928
Mailing Address - Street 1:610 W MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-4546
Mailing Address - Country:US
Mailing Address - Phone:484-704-7675
Mailing Address - Fax:
Practice Address - Street 1:610 W MARSHALL ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-4546
Practice Address - Country:US
Practice Address - Phone:484-704-7675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0396941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty