DR. Domenic Baglivo JR., D.M.D.
NPI #1952413569 in Wynnewood, Pennsylvania
Provider Information
- NPI Number
- 1952413569
- Entity Type
- Individual
- Name
- DR. Domenic Baglivo JR., D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 100 E LANCASTER AVE
- Address 2
- 203 LANKENAU MEDICAL BUILDING
- City
- Wynnewood
- State
- Pennsylvania
- ZIP Code
- 19096-3450
- Phone
- (610) 642-0259
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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