Candid Pennsylvania, Llc | |
175 Strafford Ave Ste 1 Wayne PA 19087-3340 | |
(860) 481-7631 | |
Not Available |
Full Name | Candid Pennsylvania, Llc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 175 Strafford Ave Ste 1, Wayne, Pennsylvania |
Authorized Official Name and Position | Richard D'avanzo (DDS) |
Authorized Official Contact | 8604817631 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Candid Pennsylvania, Llc 175 Strafford Ave Ste 1 Wayne PA 19087-3340 Ph: (860) 481-7631 | Candid Pennsylvania, Llc 175 Strafford Ave Ste 1 Wayne PA 19087-3340 Ph: (860) 481-7631 |
NPI Number | 1326645037 |
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Provider Enumeration Date | 10/06/2020 |
Last Update Date | 10/06/2020 |
Identifier | Type | State | Issuer |
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1326645037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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