Organization
COLMAR DENTISTRY FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEANNA DUDENBOSTEL (OWNER)
(215) 822-6777
Entity
Organization
Contact information
Practice address
2621 N BROAD ST STE B, COLMAR, PA 18915-9401
(215) 822-6777
(215) 822-5490
Mailing address
2621 N BROAD ST STE B, COLMAR, PA 18915-9401
(215) 822-6777
(215) 822-5490
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS028846L
PA
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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