Newtown Square Dental Associates, LLC
NPI #1497085286 in Newtown Square, Pennsylvania
Provider Information
- NPI Number
- 1497085286
- Entity Type
- Organization
- Organization Name
- Newtown Square Dental Associates, LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Dec 30, 2009
- Last Updated
- Dec 30, 2009
Practice Location
- Address
- 28 ALPHA DR
- City
- Newtown Square
- State
- Pennsylvania
- ZIP Code
- 19073-4102
- Phone
- (610) 359-1660
Authorized Official
- Name
- CHARLES J ROSE, DMD
- Title
- MANAGING MEMBER
- Phone
- (610) 359-1660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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