# FAMILY DENTAL SERVICE P.C.

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

## Provider details

- **NPI number:** 1578684528
- **Authorized official:** DR. DAVID N. BORDONARO D.M.D. (PRESIDENT)
- **Authorized official phone:** (610) 434-9660

## Contact information

- **Practice address:** 123 N 13TH ST, ALLENTOWN, PA 18102-3758
- **Practice address phone:** (610) 434-9660
- **Mailing address:** 123 N 13TH ST, ALLENTOWN, PA 18102-3758
- **Mailing address phone:** (610) 434-9660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | PA | Yes |
| 1223E0200X | Endodontics | — | PA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | PA | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | PA | — |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 09/15/2014