# JOHN J. RADOMILE AND MARK G. RADOMILE PTR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Radomile Family Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871621946
- **Authorized official:** DR. JOHN JAMES RADOMILE JR. DDS. (GENERAL PARTNER)
- **Authorized official phone:** (610) 123-4066

## Contact information

- **Practice address:** 4207 STATE RD, DREXEL HILL, PA 19026-3321
- **Practice address phone:** (610) 789-4066
- **Practice address fax:** (610) 789-8507
- **Mailing address:** 4207 STATE RD, DREXEL HILL, PA 19026-3321
- **Mailing address phone:** (610) 789-4066
- **Mailing address fax:** (610) 789-8507

## Taxonomy

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

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 08/22/2020