Individual
ALPHONSE JIMMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 EDGEMONT AVE, QUAKERTOWN, PA 18951-1412
(215) 356-1717
Mailing address
3604 TROTTERS LN, FURLONG, PA 18925-1192
(267) 258-8365
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS043051
PA
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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