| Bootway Dental Llc | |
|
313 W Boot Rd West Chester PA 19380-1109 | |
| (610) 701-0102 | |
| Not Available |
| Full Name | Bootway Dental Llc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 313 W Boot Rd, West Chester, Pennsylvania |
| Authorized Official Name and Position | Benjamin E Tuinei (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6027506897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bootway Dental Llc 313 W Boot Rd West Chester PA 19380-1109 Ph: (610) 701-0102 | Bootway Dental Llc 313 W Boot Rd West Chester PA 19380-1109 Ph: (610) 701-0102 |
| NPI Number | 1912574484 |
|---|---|
| Provider Enumeration Date | 06/04/2021 |
| Last Update Date | 06/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912574484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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