| Chadds Ford Dental Village | |
|
98 Route 202 At Pa De Line Chadds Ford PA 19317 | |
| (610) 459-4915 | |
| (610) 459-9752 |
| Full Name | Chadds Ford Dental Village |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 98 Route 202 At Pa De Line, Chadds Ford, Pennsylvania |
| Authorized Official Name and Position | Siad Hussien Mohamed-ali (OWNER) |
| Authorized Official Contact | 6104594915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chadds Ford Dental Village 98 Route 202 At Pa De Line Chadds Ford PA 19317 Ph: (610) 459-4915 | Chadds Ford Dental Village 98 Route 202 At Pa De Line Chadds Ford PA 19317 Ph: (610) 459-4915 |
| NPI Number | 1467529511 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467529511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS020611L (Pennsylvania) | Primary |
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