Organization
GENEVA DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINNENE MATZULIS MS (OFFICE MANAGER)
(215) 887-7788
Entity
Organization
Contact information
Practice address
254 S EASTON RD, GLENSIDE, PA 19038-3901
(215) 887-7788
(215) 887-7484
Mailing address
254 S EASTON RD, GLENSIDE, PA 19038-3901
(215) 887-7788
(215) 887-7484
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS029793L
PA
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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