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456 School Ln 104 Harleysville PA 19438-1715 | |
| (215) 513-7172 | |
| (215) 513-7192 |
| Full Name | |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 456 School Ln, Harleysville, Pennsylvania |
| Authorized Official Name and Position | Spencer Carl Saint Cyr (OWNER) |
| Authorized Official Contact | 2155137172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
456 School Ln 104 Harleysville PA 19438-1715 Ph: (215) 513-7172 | 456 School Ln 104 Harleysville PA 19438-1715 Ph: (215) 513-7172 |
| NPI Number | 1609028414 |
|---|---|
| Provider Enumeration Date | 10/13/2008 |
| Last Update Date | 10/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609028414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DS030449L (Pennsylvania) | Primary |
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