Organization
DENTISTRY FOR CHILDREN & ADOLESCENTS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRIETTA ANN DONOHUE (OFFICE MANAGER)
(610) 237-9070
Entity
Organization
Contact information
Practice address
2114 MACDADE BLVD, HOLMES, PA 19043-1408
(610) 237-9070
(610) 237-0117
Mailing address
2114 MACDADE BLVD, HOLMES, PA 19043-1408
(610) 237-9070
(610) 237-0117
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
PA
Other
Enumeration date
04/12/2006
Last updated
07/21/2022
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