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Organization
DELAWARE COUNTY DENTAL, LLC
Active
Organization
DELAWARE COUNTY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE CAMAGNA (DENTIST)
(484) 832-1599
Entity
Organization
Contact information
Practice address
92 OVERLOOK CIR, GARNET VALLEY, PA 19060-2250
(484) 832-1599
Mailing address
92 OVERLOOK CIR, GARNET VALLEY, PA 19060-2250
(484) 832-1599
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063941623
NPI
PA
Enumeration date
01/30/2022
Last updated
01/30/2022
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