# TOWNSHIP LINE DENTAL LLC

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

## Provider details

- **NPI number:** 1639834468
- **Authorized official:** DR. KATHERINE MA DMD (CEO)
- **Authorized official phone:** (215) 847-0651

## Contact information

- **Practice address:** 3016 TOWNSHIP LINE RD, DREXEL HILL, PA 19026-1823
- **Practice address phone:** (215) 770-1100
- **Mailing address:** 3016 TOWNSHIP LINE RD, DREXEL HILL, PA 19026-1823
- **Mailing address phone:** (215) 770-1100

## Taxonomy

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

## Other

- **Enumeration date:** 11/05/2021
- **Last updated:** 11/05/2021