Organization
JAKE M DORFMAN DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAKE DORFMAN DMD (OWNER)
(215) 917-6690
Entity
Organization
Contact information
Practice address
345 KNOWLES AVE STE 7, SOUTHAMPTON, PA 18966-4191
(215) 917-6690
Mailing address
155 GLENIFFER HILL RD, RICHBORO, PA 18954-1368
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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