Woodhaven Ultimate Dental Pllc

NPI #1730739608 in Bensalem, Pennsylvania

Provider Information

NPI Number: 1730739608
Entity Type: Organization
Organization Name: Woodhaven Ultimate Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Sep 12, 2019
Last Updated: Dec 21, 2019

Practice Location

Address: 1 WOODHAVEN MALL STE 106
City: Bensalem
State: Pennsylvania
ZIP Code: 19020-5609
Phone: (215) 245-5335

Authorized Official

Name: MR. DOUGLAS GREENFIELD
Title: COMPLIANCE OFFICER
Phone: (215) 422-3647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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