| Dynamic Modern Dentistry | |
|
230 N Keswick Ave Glenside PA 19038-4804 | |
| (215) 885-4252 | |
| (215) 885-7487 |
| Full Name | Dynamic Modern Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 230 N Keswick Ave, Glenside, Pennsylvania |
| Authorized Official Name and Position | Susan M Rotzal (PARTNER) |
| Authorized Official Contact | 2158854252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Modern Dentistry 230 N Keswick Ave Glenside PA 19038-4804 Ph: (215) 885-4252 | Dynamic Modern Dentistry 230 N Keswick Ave Glenside PA 19038-4804 Ph: (215) 885-4252 |
| NPI Number | 1578714812 |
|---|---|
| Provider Enumeration Date | 10/06/2008 |
| Last Update Date | 10/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578714812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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