Organization
MID-ATLANTIC DENTAL PARTNERS DELAWARE PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM HOLDER (SVP OF REVENUE CYCLE)
(484) 243-6602
Entity
Organization
Contact information
Practice address
2101 FOULK RD, WILMINGTON, DE 19810-4710
(302) 475-1122
Mailing address
630 W GERMANTOWN PIKE STE 120, PLYMOUTH MEETING, PA 19462-1074
(720) 441-3423
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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