Ccd Wayne Family Dentistry, LLC
NPI #1124667159 in Wayne, Pennsylvania
Provider Information
- NPI Number
- 1124667159
- Entity Type
- Organization
- Organization Name
- Ccd Wayne Family Dentistry, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 20, 2019
- Last Updated
- Aug 19, 2020
Practice Location
- Address
- 415 E LANCASTER AVE
- City
- Wayne
- State
- Pennsylvania
- ZIP Code
- 19087-4202
- Phone
- (610) 688-4578
Authorized Official
- Name
- MS. BETH WALSH
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (610) 842-5421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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