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NORTHEAST PEDIATRIC DENTAL LLC 1053087759

Overview
Name: NORTHEAST PEDIATRIC DENTAL LLC Specialty: Pediatric Dentist Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Dental Providers Classification: Dentist Specialization: Pediatric Dentistry. Definition of Specialty: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: NORTHEAST PEDIATRIC DENTAL LLC,7122 RISING SUN AVE,PHILADELPHIA,PA,191113957,US Mailing Address: NORTHEAST PEDIATRIC DENTAL LLC,45 VILLAGE SQ,PAOLI,PA,193012108,US
Contact #
Practice location phone #: 2678097788 Practice location fax #: Mailing address Phone #: 2678097788 Mailing Address fax #: Authorized official Name/Telephone #:DR., WIN, CHIN, LEE, DMD, PEDIATRIC DENTIST 2678097788
Misc
Date NPI was obtained: 08/22/2021 Last data data was updated: 08/22/2021 Insurances:
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