MEDICARE: AEK HARI GEETA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	1223P0700X	Prosthodontics
2	1223S0112X	Oral and Maxillofacial Surgery (Dentist)
3	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1427806652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AEK HARI GEETA LLC

Provider Business Mailing Address
First Line	:	107 WESTMINSTER DR
Second Line	:
City	:	NORTH WALES
State	:	PA
Zip	:	19454-1218
Country	:	US
Telephone Number	:	267-500-1504
Fax Number	:

Provider Business Practice Location Address
First Line	:	1309 ROUTE 100
Second Line	:
City	:	BARTO
State	:	PA
Zip	:	19504-8724
Country	:	US
Telephone Number	:	267-500-1504
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. GITABEN K DUDHAT
Credential	:
Telephone Number	:	267-500-1504

Provider Enumeration Date	:	05/13/2024
Last Update Date	:	05/13/2024

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Directions to “AEK HARI GEETA LLC ” Practice Location

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