| Conshohocken Dental Group, Llc | |
|
200 W Ridge Pike Suite #129 Conshohocken PA 19428-3702 | |
| (610) 828-3535 | |
| (610) 828-3558 |
| Full Name | Conshohocken Dental Group, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 W Ridge Pike, Conshohocken, Pennsylvania |
| Authorized Official Name and Position | Wansuk Seth Seo (PRESIDENT) |
| Authorized Official Contact | 6108283535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conshohocken Dental Group, Llc 200 W Ridge Pike Suite #129 Conshohocken PA 19428-3702 Ph: (610) 828-3535 | Conshohocken Dental Group, Llc 200 W Ridge Pike Suite #129 Conshohocken PA 19428-3702 Ph: (610) 828-3535 |
| NPI Number | 1619260155 |
|---|---|
| Provider Enumeration Date | 05/17/2011 |
| Last Update Date | 05/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619260155 | NPI | - | NPPES |
| 102564482 | Medicaid | PA |
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