| Pro-dent | |
|
1440 Conchester Hwy Boothwyn PA 19061-2124 | |
| (610) 459-0845 | |
| Not Available |
| Full Name | Pro-dent |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1440 Conchester Hwy, Boothwyn, Pennsylvania |
| Authorized Official Name and Position | Lawrence Paul (OWNER) |
| Authorized Official Contact | 6104590845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro-dent 1440 Conchester Hwy Boothwyn PA 19061-2124 Ph: (610) 459-0845 | Pro-dent 1440 Conchester Hwy Boothwyn PA 19061-2124 Ph: (610) 459-0845 |
| NPI Number | 1871651992 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871651992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22D102138300 (Pennsylvania) | Primary |