Children And Teen Dental Group Of Pennsylvania PC
Dentist, Pediatric Dentistry in Kennett Square, PA. Organization (NPI-2).
NPI number1124576004
StatusActive
Last updated in NPPESSep 20, 2016
Details
- NPI
- 1124576004
- Entity type
- Organization (NPI-2)
- Legal business name
- Children And Teen Dental Group Of Pennsylvania PC
- Organization subpart
- No
- Enumeration date
- Sep 20, 2016
- Last updated
- Sep 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
Practice location
400 McFarlan RdSte 200
Kennett Square, PA 19348-2477
Phone 610-925-5700
Mailing address
400 McFarlan RdSte 200
Kennett Square, PA 19348-2477
Phone 610-925-5700
Authorized official
Brian Smith
Cfo
7702315348
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