# DELAWARE COUNTY DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497408553
- **Authorized official:** LUKE CAMAGNA (DENTIST)
- **Authorized official phone:** (484) 832-1599

## Contact information

- **Practice address:** 92 OVERLOOK CIR, GARNET VALLEY, PA 19060-2250
- **Practice address phone:** (484) 832-1599
- **Mailing address:** 92 OVERLOOK CIR, GARNET VALLEY, PA 19060-2250
- **Mailing address phone:** (484) 832-1599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2022
- **Last updated:** 01/30/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1063941623 | NPI | PA |