Individual
DR. ELLEN AGNES O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
531 W GERMANTOWN PIKE, SUITE 104, PLYMOUTH MEETING, PA 19462-1325
(610) 828-4100
Mailing address
201 FREDERICK RD, HAVERTOWN, PA 19083-1013
(610) 449-3810
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS029991L
PA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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