Conshohocken Dental Group, LLC
NPI #1619260155 in Conshohocken, Pennsylvania
Provider Information
- NPI Number
- 1619260155
- Entity Type
- Organization
- Organization Name
- Conshohocken Dental Group, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 17, 2011
- Last Updated
- May 17, 2011
Practice Location
- Address
- 200 W RIDGE PIKE
- Address 2
- SUITE #129
- City
- Conshohocken
- State
- Pennsylvania
- ZIP Code
- 19428-3702
- Phone
- (610) 828-3535
Authorized Official
- Name
- DR. WANSUK SETH SEO, DMD
- Title
- PRESIDENT
- Phone
- (610) 828-3535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - Periodontics — Periodontics |
| Dentist - General Practice — General Practice |
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