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Organization
MAIN LINE DENTAL HEALTH ASSOCIATES
Active
Organization
MAIN LINE DENTAL HEALTH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JEFFERY SNIDER DMD (PRESIDENT OWNER)
(610) 642-6965
Entity
Organization
Contact information
Practice address
100 EAST LANCASTER AVENUE, 664 LANKENAU MEDICAL BUILDING EAST, WYNNEWOOD, PA 19096-3450
(610) 642-6965
(610) 642-0286
Mailing address
100 EAST LANCASTER AVENUE, 664 LANKENAU MEDICAL BUILDING EAST, WYNNEWOOD, PA 19096-3450
(610) 642-6965
(610) 642-0286
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0229251
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
887426
UNITED CONCORDIA
PA
Enumeration date
09/28/2006
Last updated
06/26/2008
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