Broomall Pediatric Dentistry & Orthodontics,p.c.

NPI 1336202787 - Dentist - 1223G0001X

NPI Details
NPI 1336202787
Enumeration Date 12/18/2006
Last Updated 04/28/2016
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JAY JAY
Position DENTIST,OWNER
Phone (484) 454-3230
Fax (484) 455-7186
Practice Location
1220 W CHESTER PIKE
HAVERTOWN PA, 19083-3339, US
Phone (484) 454-3230
Fax (484) 455-7186
Business Location
1220 W CHESTER PIKE
HAVERTOWN PA, 19083-3339, US
Phone (484) 454-3230
Fax (310) 356-3658
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Broomall Pediatric Dentistry & Orthodontics,p.c. NPI is 1336202787, taxonomy code is 1223G0001X Broomall Pediatric Dentistry & Orthodontics,p.c. physically located at 1220 W Chester Pike, Havertown PA, 19083-3339. NPI Number 1033115704 has the healthcare provider type.

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1336202787 NPI number is provided on an as is basis without warranty of any kind. 1336202787 is maintained by the National Plan & Provider Enumeration System. The contents of Broomall Pediatric Dentistry & Orthodontics,p.c. are for informational purposes only.