| Louis F Vida Ddspc | |
|
407 N Main St Doylestown PA 18901-3403 | |
| (215) 348-1192 | |
| (215) 348-2580 |
| Full Name | Louis F Vida Ddspc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 407 N Main St, Doylestown, Pennsylvania |
| Authorized Official Name and Position | Louis F Vida (OWNER) |
| Authorized Official Contact | 2153481192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louis F Vida Ddspc 407 N Main St Doylestown PA 18901-3403 Ph: (215) 348-1192 | Louis F Vida Ddspc 407 N Main St Doylestown PA 18901-3403 Ph: (215) 348-1192 |
| NPI Number | 1003975319 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003975319 | NPI | - | NPPES |
| 157954 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS19060L (Pennsylvania) | Primary |
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