| White Willow Dental Arts | |
|
1244 Fort Washington Ave Suite A Fort Washington PA 19034-1743 | |
| (215) 643-0363 | |
| Not Available |
| Full Name | White Willow Dental Arts |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1244 Fort Washington Ave, Fort Washington, Pennsylvania |
| Authorized Official Name and Position | Paola Bukovcan (OWNER) |
| Authorized Official Contact | 2154102049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Willow Dental Arts 1413 Beech Ave Elkins Park PA 19027-3152 Ph: () - | White Willow Dental Arts 1244 Fort Washington Ave Suite A Fort Washington PA 19034-1743 Ph: (215) 643-0363 |
| NPI Number | 1760841084 |
|---|---|
| Provider Enumeration Date | 02/15/2016 |
| Last Update Date | 02/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760841084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS039121 (Pennsylvania) | Primary |
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