Provider Demographics
NPI:1629245386
Name:MONA ALBANDAR DENTAL ASSOCIATES INC.
Entity Type:Organization
Organization Name:MONA ALBANDAR DENTAL ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MONA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALBANDAR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-277-7110
Mailing Address - Street 1:472 E GERMANTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19401-6506
Mailing Address - Country:US
Mailing Address - Phone:610-277-7110
Mailing Address - Fax:610-277-7160
Practice Address - Street 1:472 E GERMANTOWN PIKE
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401-6506
Practice Address - Country:US
Practice Address - Phone:610-277-7110
Practice Address - Fax:610-277-7160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0363831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty