Organization
FAIRVIEW DENTAL ARTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER THOMAS ANDOLINO DMD (DENTIST/PRESIDENT)
(610) 630-2373
Entity
Organization
Contact information
Practice address
1009 VALLEY FORGE RD, EAGLEVILLE, PA 19403-1022
(610) 630-2373
Mailing address
1009 VALLEY FORGE RD, EAGLEVILLE, PA 19403-1022
(610) 630-2373
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS035996
PA
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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