Ardmore Endodontics | |
702 Times Building Suburban Square Ardmore PA 19003 | |
(610) 649-5235 | |
(610) 649-4778 |
Full Name | Ardmore Endodontics |
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Speciality | Dentist - Endodontics |
Location | 702 Times Building, Ardmore, Pennsylvania |
Authorized Official Name and Position | Richard Titlebaum (MANAGING MEMBER) |
Authorized Official Contact | 6106495235 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ardmore Endodontics 702 Times Building Suburban Square Ardmore PA 19003 Ph: (610) 649-5235 | Ardmore Endodontics 702 Times Building Suburban Square Ardmore PA 19003 Ph: (610) 649-5235 |
NPI Number | 1891980512 |
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Provider Enumeration Date | 09/06/2007 |
Last Update Date | 09/06/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891980512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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