| Crentist Pc | |
|
1100 Macdade Blvd Woodlyn PA 19094-1322 | |
| (610) 833-1919 | |
| Not Available |
| Full Name | Crentist Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1100 Macdade Blvd, Woodlyn, Pennsylvania |
| Authorized Official Name and Position | Jordan Klinkner (PRESIDENT) |
| Authorized Official Contact | 9175239800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crentist Pc 1100 Macdade Blvd Woodlyn PA 19094-1322 Ph: (610) 833-1919 | Crentist Pc 1100 Macdade Blvd Woodlyn PA 19094-1322 Ph: (610) 833-1919 |
| NPI Number | 1649817719 |
|---|---|
| Provider Enumeration Date | 12/07/2019 |
| Last Update Date | 12/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649817719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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