| Media Dentistry | |
|
415 E Baltimore Ave Ste 2 Media PA 19063-3538 | |
| (610) 566-3600 | |
| Not Available |
| Full Name | Media Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 415 E Baltimore Ave Ste 2, Media, Pennsylvania |
| Authorized Official Name and Position | Dean Kanellopoulos (OFFICE MANAGER) |
| Authorized Official Contact | 6105663600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Media Dentistry 415 E Baltimore Ave Ste 2 Media PA 19063-3538 Ph: (610) 566-3600 | Media Dentistry 415 E Baltimore Ave Ste 2 Media PA 19063-3538 Ph: (610) 566-3600 |
| NPI Number | 1568839827 |
|---|---|
| Provider Enumeration Date | 08/21/2015 |
| Last Update Date | 08/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568839827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
| 126800000X | Dental Assistant | (* (Not Available)) | Secondary |
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