Provider Demographics
NPI:1457530727
Name:THE SALTZ DENTAL CENTER
Entity Type:Organization
Organization Name:THE SALTZ DENTAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHVINKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:DHRUVA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:610-874-4316
Mailing Address - Street 1:616 AVENUE OF THE STATES
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-4215
Mailing Address - Country:US
Mailing Address - Phone:610-874-4316
Mailing Address - Fax:610-874-9968
Practice Address - Street 1:616 AVENUE OF THE STATES
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-4215
Practice Address - Country:US
Practice Address - Phone:610-874-4316
Practice Address - Fax:610-874-9968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019780L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty