| Pediatric Dental Care Of Berks County | |
|
344 N Wyomissing Blvd Wyomissing PA 19610-2936 | |
| (610) 375-3844 | |
| Not Available |
| Full Name | Pediatric Dental Care Of Berks County |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 344 N Wyomissing Blvd, Wyomissing, Pennsylvania |
| Authorized Official Name and Position | Preciosa Perez (OWNER) |
| Authorized Official Contact | 6103753844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Care Of Berks County 344 N Wyomissing Blvd Wyomissing PA 19610-2936 Ph: (610) 375-3844 | Pediatric Dental Care Of Berks County 344 N Wyomissing Blvd Wyomissing PA 19610-2936 Ph: (610) 375-3844 |
| NPI Number | 1265730535 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 03/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265730535 | NPI | - | NPPES |
| 001781306-0009 | Medicaid | PA | |
| 001883048-0002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS031182L (Pennsylvania) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | DS035069 (Pennsylvania) | Primary |
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