Gd PA Npda Pllc
NPI #1609657006 in Lansdale, Pennsylvania
Provider Information
- NPI Number
- 1609657006
- Entity Type
- Organization
- Organization Name
- Gd PA Npda Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 11, 2023
- Last Updated
- Oct 11, 2023
Practice Location
- Address
- 1570 SUMNEYTOWN PIKE
- City
- Lansdale
- State
- Pennsylvania
- ZIP Code
- 19446-4883
- Phone
- (215) 361-2040
Authorized Official
- Name
- CHAD HENDRICKS
- Title
- CREDENTIALING
- Phone
- (612) 859-0444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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