Montgomery Mall Dental, Llp | |
154 Montgomery Mall North Wales PA 19454-3909 | |
(215) 356-6666 | |
Not Available |
Full Name | Montgomery Mall Dental, Llp |
---|---|
Speciality | Dentist |
Location | 154 Montgomery Mall, North Wales, Pennsylvania |
Authorized Official Name and Position | Viktoriya I Shaakova (OFFICE MANAGER) |
Authorized Official Contact | 2153625666 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Montgomery Mall Dental, Llp 154 Montgomery Mall North Wales PA 19454-3909 Ph: (215) 356-6666 | Montgomery Mall Dental, Llp 154 Montgomery Mall North Wales PA 19454-3909 Ph: (215) 356-6666 |
NPI Number | 1770821761 |
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Provider Enumeration Date | 01/25/2013 |
Last Update Date | 01/25/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770821761 | NPI | - | NPPES |
193200000X | Other | PA | MULTI-SPECIALTY GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DS038562 (Pennsylvania) | Primary |
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