Organization
QUAKERTOWN PERIODONTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE DORDICK DDS (PRES)
(215) 538-0551
Entity
Organization
Contact information
Practice address
1402 W BROAD ST, QUAKERTOWN, PA 18951-1110
(215) 538-0551
Mailing address
1402 W BROAD ST, QUAKERTOWN, PA 18951-1110
(215) 538-0551
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS017728L
PA
Other
Enumeration date
07/19/2006
Last updated
08/22/2020
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