| NPI | 1003569013 |
|---|---|
| Doing Business As | FOXCHASE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ALI SHAHRESTANI Owner 571-899-5094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-01-31 |