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Organization
WILLIAMSBURG DENTAL, P.C.
Active
Organization
WILLIAMSBURG DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA A FERRETTI (OFFICE ADMINISTRATOR)
(610) 353-2700
Entity
Organization
Contact information
Practice address
601 WILLIAMSBURG DR, BROOMALL, PA 19008-3428
(610) 353-2700
(610) 353-5528
Mailing address
601 WILLIAMSBURG DR, BROOMALL, PA 19008-3428
(610) 353-2700
(610) 353-5528
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051555
UNITED CONCORDIA NON PART
PA
01
—
124133
UNITED CONCORDIA PART
PA
Enumeration date
05/18/2007
Last updated
08/22/2020
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