Concordville Town Centre Dental
Dentist, General Practice in Glen Mills, PA. Organization (NPI-2).
NPI number1043538457
StatusActive
Last updated in NPPESMay 10, 2010
Details
- NPI
- 1043538457
- Entity type
- Organization (NPI-2)
- Legal business name
- Concordville Town Centre Dental
- Organization subpart
- No
- Enumeration date
- May 10, 2010
- Last updated
- May 10, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DS028310 | PA | Yes |
Practice location
600 Town Centre DrSuite 22
Glen Mills, PA 19342-3346
Phone 610-459-3644 · Fax 610-459-0736
Mailing address
600 Town Centre DrSuite 22
Glen Mills, PA 19342-3346
Phone 610-459-3644 · Fax 610-459-0736
Authorized official
Douglas A. Filidore
Owner
6104593644
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