# BRYN MAWR DENTAL ASSOCIATES LTD

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

## Provider details

- **NPI number:** 1619057809
- **Authorized official:** PAUL K BOOKMAN (PRESIDENT)
- **Authorized official phone:** (610) 527-2469

## Contact information

- **Practice address:** 945 E HAVERFORD RD, STE 200, BRYN MAWR, PA 19010-3814
- **Practice address phone:** (610) 527-2469
- **Practice address fax:** (610) 527-1915
- **Mailing address:** 945 E HAVERFORD RD, STE 200, BRYN MAWR, PA 19010-3814
- **Mailing address phone:** (610) 527-2469
- **Mailing address fax:** (610) 527-1915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 03/22/2016