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Individual

DR. TRACEY HEIKEN BRESLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D

Contact information

Practice address
6801 RIDGE AVE, PHILADELPHIA, PA 19128-2446
(215) 483-6633
Mailing address
834 PARADISE DR, AMBLER, PA 19002-2340
(305) 725-0089

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
DN18325
FL
1223P0221X
Pediatric Dentistry
Primary
DS038634
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102603876
PA
Enumeration date
06/24/2008
Last updated
01/22/2013
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