| Prosthodontics Intermedica | |
|
467 Pennsylvania Ave Suite 201 Fort Washington PA 19034-3420 | |
| (215) 646-6334 | |
| (215) 643-1149 |
| Full Name | Prosthodontics Intermedica |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 467 Pennsylvania Ave, Fort Washington, Pennsylvania |
| Authorized Official Name and Position | Thomas J Balshi (FOUNDER/PRESIDENT) |
| Authorized Official Contact | 2156466334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosthodontics Intermedica 467 Pennsylvania Ave Suite 201 Fort Washington PA 19034-3420 Ph: (215) 646-6334 | Prosthodontics Intermedica 467 Pennsylvania Ave Suite 201 Fort Washington PA 19034-3420 Ph: (215) 646-6334 |
| NPI Number | 1285634816 |
|---|---|
| Provider Enumeration Date | 07/26/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285634816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | DS017634L (Pennsylvania) | Primary |
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