Tied Main Line Tongue Tie Professionals.
NPI #1255163341 in Berwyn, Pennsylvania
Provider Information
- NPI Number
- 1255163341
- Entity Type
- Organization
- Organization Name
- Tied Main Line Tongue Tie Professionals.
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Aug 16, 2024
- Last Updated
- Aug 16, 2024
Practice Location
- Address
- 1125 LANCASTER AVE STE 2
- City
- Berwyn
- State
- Pennsylvania
- ZIP Code
- 19312-2601
- Phone
- (610) 557-0252
Authorized Official
- Name
- JACQUELINE PALMA WINGATE, DMD
- Title
- OWNER
- Phone
- (610) 557-0252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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