| NPI | 1902659006 |
|---|---|
| Doing Business As | MEDIA HOMETOWN DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHAHEEN SHAFAGH Owner 610-733-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-04-09 |