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Exton Special Needs Dentistry

Dentist, General Practice in Exton, PA. Organization (NPI-2).

NPI number1740567775
StatusActive
Last updated in NPPESNov 4, 2011

Details

NPI
1740567775
Entity type
Organization (NPI-2)
Legal business name
Exton Special Needs Dentistry
Organization subpart
No
Enumeration date
Nov 4, 2011
Last updated
Nov 4, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice–PAYes

Practice location

80 West Welsh Pool Road
Suite 201 N
Exton, PA 19341-1233

Phone 610-363-0809 · Fax 610-363-0169

Mailing address

6404 Roosevelt Blvd
Philadelphia, PA 19149-2943

Phone 215-743-3700 · Fax 215-743-3706

Authorized official

Joyce Zuccarini
Coo
2157433700

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