| NPI | 1174680961 |
|---|---|
| Doing Business As | BALA ORAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | BAHMAN SANI KHATAM Owner 610-667-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS024444L) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS026658L) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |