# LEON A. WERTHEIMER, D.D.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Main Line Dental Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508192006
- **Authorized official:** DR. LEON A WERTHEIMER D.D.S. (OWNER)
- **Authorized official phone:** (610) 668-0606

## Contact information

- **Practice address:** 352 MONTGOMERY AVE, MERION STATION, PA 19066-1202
- **Practice address phone:** (610) 668-0606
- **Practice address fax:** (610) 668-8427
- **Mailing address:** 352 MONTGOMERY AVE, MERION STATION, PA 19066-1202
- **Mailing address phone:** (610) 668-0606
- **Mailing address fax:** (610) 668-8427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS019271-L | PA | Yes |

## Other

- **Enumeration date:** 10/19/2009
- **Last updated:** 10/19/2009