Eagle Crest Pediatric Dentistry
NPI #1326392846 in Havertown, Pennsylvania
Provider Information
- NPI Number
- 1326392846
- Entity Type
- Organization
- Organization Name
- Eagle Crest Pediatric Dentistry
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Nov 6, 2012
- Last Updated
- Oct 3, 2014
Practice Location
- Address
- 31 S EAGLE RD
- Address 2
- SUITE 100
- City
- Havertown
- State
- Pennsylvania
- ZIP Code
- 19083-3340
- Phone
- (484) 454-3568
Authorized Official
- Name
- ROSE WADENYA, DMD
- Title
- OWNER / PEDIATRIC DENTIST
- Phone
- (484) 454-3568
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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