Individual
DR. EDAN BLUMENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1003 BALTIMORE PIKE, MEDIA, PA 10963
(610) 891-0940
Mailing address
1003 E BALTIMORE PIKE, MEDIA, PA 19063-5135
(610) 891-0940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS026210
PA
Other
Enumeration date
03/14/2007
Last updated
01/27/2009
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