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Organization
SANDS-DEFORNO DENTAL LLC
Active
Organization
SANDS-DEFORNO DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE SANDS (CO-OWNER/MANAGING MEMBER)
(610) 458-7067
Entity
Organization
Contact information
Practice address
2946 CONESTOGA RD, GLENMOORE, PA 19343-9516
(610) 458-7067
(610) 458-5792
Mailing address
2946 CONESTOGA RD, GLENMOORE, PA 19343-9516
(610) 458-7067
(610) 458-5792
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS019463
PA
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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