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Organization
NEWTOWN SQUARE DENTAL ASSOCIATES, LLC
Active
Organization
NEWTOWN SQUARE DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES J ROSE DMD (MANAGING MEMBER)
(610) 359-1660
Entity
Organization
Contact information
Practice address
28 ALPHA DR, NEWTOWN SQUARE, PA 19073-4102
(610) 359-1660
(610) 359-1662
Mailing address
28 ALPHA DR, NEWTOWN SQUARE, PA 19073-4102
(610) 359-1660
(610) 359-1662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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