Main Line Dental Associates | |
352 Montgomery Ave Merion Station PA 19066-1202 | |
(610) 668-0606 | |
(610) 668-8427 |
Full Name | Main Line Dental Associates |
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Speciality | Dentist - General Practice |
Location | 352 Montgomery Ave, Merion Station, Pennsylvania |
Authorized Official Name and Position | Leon A Wertheimer (OWNER) |
Authorized Official Contact | 6106680606 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Main Line Dental Associates 352 Montgomery Ave Merion Station PA 19066-1202 Ph: (610) 668-0606 | Main Line Dental Associates 352 Montgomery Ave Merion Station PA 19066-1202 Ph: (610) 668-0606 |
NPI Number | 1508192006 |
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Provider Enumeration Date | 10/19/2009 |
Last Update Date | 10/19/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508192006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS019271-L (Pennsylvania) | Primary |
Merion Dental Group Dba Merion Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 352 Montgomery Ave, Merion Station, PA 19066 Phone: 484-278-4441 | |
Merion Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 352 Montgomery Ave, Merion Station, PA 19066 Phone: 484-278-4441 |