Kennett Square Periodontics, PC
NPI #1598778417 in Kennett Square, Pennsylvania
Provider Information
- NPI Number
- 1598778417
- Entity Type
- Organization
- Organization Name
- Kennett Square Periodontics, PC
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Aug 14, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 630 COPE RD
- Address 2
- SUITE C
- City
- Kennett Square
- State
- Pennsylvania
- ZIP Code
- 19348-2438
- Phone
- (610) 944-5080
Authorized Official
- Name
- DR. SEYED SHAMSEDDIN, DDS
- Title
- OWNER
- Phone
- (610) 944-5080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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