| Groovy Pediatric Dentistry | |
|
1125 Lancaster Ave Berwyn PA 19312-2601 | |
| (610) 557-0252 | |
| (610) 557-0253 |
| Full Name | Groovy Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1125 Lancaster Ave, Berwyn, Pennsylvania |
| Authorized Official Name and Position | Jacqueline Palma Wingate (BOARD CERTIFIED PEDIATRIC DENTIST) |
| Authorized Official Contact | 6105570252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Groovy Pediatric Dentistry 1125 Lancaster Ave Berwyn PA 19312-2601 Ph: (610) 557-0252 | Groovy Pediatric Dentistry 1125 Lancaster Ave Berwyn PA 19312-2601 Ph: (610) 557-0252 |
| NPI Number | 1881342152 |
|---|---|
| Provider Enumeration Date | 03/15/2022 |
| Last Update Date | 03/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881342152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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