# EAGLE FAMILY DENTISTRY, LLC

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

## Provider details

- **NPI number:** 1528325008
- **Authorized official:** DR. MIRA DELLA CROCE D.M.D. (PRESIDENT)
- **Authorized official phone:** (215) 200-7883

## Contact information

- **Practice address:** 72 POTTSTOWN PIKE, SUITE 203, CHESTER SPRINGS, PA 19425-9564
- **Practice address phone:** (610) 458-5165
- **Mailing address:** 72 POTTSTOWN PIKE, SUITE 203, CHESTER SPRINGS, PA 19425-9564
- **Mailing address phone:** (610) 458-5165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | PA | Yes |

## Other

- **Enumeration date:** 04/20/2012
- **Last updated:** 04/20/2012