Individual
DAVID T. BANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
858 E WELSH RD, SUITE #1, MAPLE GLEN, PA 19002-2942
(215) 646-4411
(215) 643-1774
Mailing address
858 E WELSH RD, SUITE#1, MAPLE GLEN, PA 19002-2942
(215) 646-4411
(215) 643-1774
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS027153L
PA
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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