Organization
FAMILY AND COSMETIC DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FREDERIC HORNICK DMD (PRESIDENT)
(215) 616-0855
Entity
Organization
Contact information
Practice address
1151 S BROAD ST, LANSDALE, PA 19446-5340
(215) 616-0855
(215) 616-0955
Mailing address
2812 MOUNTAIN LAUREL DR, FURLONG, PA 18925-1542
(215) 230-7175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS031066
PA
1223G0001X
General Practice Dentistry
Primary
DS035656
PA
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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