| NPI | 1942736434 |
|---|---|
| Doing Business As | SOUTHBRIDGE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | KINNAR SHAH President 215-385-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN18562188) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |