Individual
DR. MARK LAMONT BIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1213 SKIPPACK PIKE, BLUE BELL, PA 19422-1246
(610) 279-4277
Mailing address
1213 SKIPPACK PIKE, BLUE BELL, PA 19422-1246
(610) 279-4277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS026761L
PA
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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