| Ccd Wayne Family Dentistry, Llc | |
|
415 E Lancaster Ave Wayne PA 19087-4202 | |
| (610) 688-4578 | |
| Not Available |
| Full Name | Ccd Wayne Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 415 E Lancaster Ave, Wayne, Pennsylvania |
| Authorized Official Name and Position | Beth Walsh (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6108425421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccd Wayne Family Dentistry, Llc 415 E Lancaster Ave Wayne PA 19087-4202 Ph: (610) 688-4578 | Ccd Wayne Family Dentistry, Llc 415 E Lancaster Ave Wayne PA 19087-4202 Ph: (610) 688-4578 |
| NPI Number | 1124667159 |
|---|---|
| Provider Enumeration Date | 12/20/2019 |
| Last Update Date | 08/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124667159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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