# WOODHAVEN ULTIMATE DENTAL PLLC

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

## Provider details

- **NPI number:** 1730739608
- **Authorized official:** MR. DOUGLAS GREENFIELD (COMPLIANCE OFFICER)
- **Authorized official phone:** (215) 422-3647

## Contact information

- **Practice address:** 1 WOODHAVEN MALL STE 106, BENSALEM, PA 19020-5609
- **Practice address phone:** (215) 245-5335
- **Mailing address:** 1 WOODHAVEN MALL STE 106, BENSALEM, PA 19020-5609
- **Mailing address phone:** (215) 245-5335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2019
- **Last updated:** 12/21/2019