| My Favorite Dental Clinic Llc | |
|
508 Prudential Rd Suite 300 Horsham PA 19044-2309 | |
| (267) 663-8699 | |
| Not Available |
| Full Name | My Favorite Dental Clinic Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 508 Prudential Rd, Horsham, Pennsylvania |
| Authorized Official Name and Position | Huifang Ma (OWNER) |
| Authorized Official Contact | 2676638699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Favorite Dental Clinic Llc 508 Prudential Rd Suite 300 Horsham PA 19044-2309 Ph: (267) 663-8699 | My Favorite Dental Clinic Llc 508 Prudential Rd Suite 300 Horsham PA 19044-2309 Ph: (267) 663-8699 |
| NPI Number | 1952785743 |
|---|---|
| Provider Enumeration Date | 07/13/2015 |
| Last Update Date | 07/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952785743 | NPI | - | NPPES |
| 102813274-0001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS039534 (Pennsylvania) | Primary |
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