Sands-Deforno Dental LLC
Dentist, General Practice in Glenmoore, PA. Organization (NPI-2).
NPI number1265869887
StatusActive
Last updated in NPPESSep 27, 2013
Details
- NPI
- 1265869887
- Entity type
- Organization (NPI-2)
- Legal business name
- Sands-Deforno Dental LLC
- Organization subpart
- No
- Enumeration date
- Sep 27, 2013
- Last updated
- Sep 27, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DS019463 | PA | Yes |
Practice location
2946 Conestoga RdGlenmoore, PA 19343-9516
Phone 610-458-7067 · Fax 610-458-5792
Mailing address
2946 Conestoga RdGlenmoore, PA 19343-9516
Phone 610-458-7067 · Fax 610-458-5792
Authorized official
Stephanie Sands
Co-Owner/Managing Member
6104587067
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