Modern Dental Professionals Philadelpha PC
NPI #1871651992 in Boothwyn, Pennsylvania
Provider Information
- NPI Number
- 1871651992
- Entity Type
- Organization
- Organization Name
- Modern Dental Professionals Philadelpha PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 4, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1440 CONCHESTER HWY
- City
- Boothwyn
- State
- Pennsylvania
- ZIP Code
- 19061-2124
- Phone
- (610) 459-0845
Authorized Official
- Name
- LAWRENCE PAUL
- Title
- OWNER
- Phone
- (610) 459-0845
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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