Groovy Pediatric Dentistry
NPI #1881342152 in Berwyn, Pennsylvania
Provider Information
- NPI Number
- 1881342152
- Entity Type
- Organization
- Organization Name
- Groovy Pediatric Dentistry
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Mar 15, 2022
- Last Updated
- Mar 24, 2022
Practice Location
- Address
- 1125 LANCASTER AVE
- City
- Berwyn
- State
- Pennsylvania
- ZIP Code
- 19312-2601
- Phone
- (610) 557-0252
Authorized Official
- Name
- JACQUELINE PALMA WINGATE, DMD, MPH
- Title
- BOARD CERTIFIED PEDIATRIC DENTIST
- Phone
- (610) 557-0252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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