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Organization
DAVID MACONI DDS LLC
Active
Organization
DAVID MACONI DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M MACONI DDS (OWNER)
(609) 477-2290
Entity
Organization
Contact information
Practice address
810 DARBY RD, HAVERTOWN, PA 19083-4607
(610) 853-6602
Mailing address
195 E CHELSEA CIR, NEWTOWN SQUARE, PA 19073-2110
(609) 477-2290
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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