Organization
PEDIATRIC DENTISTRY OF LOWER MERION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN STEPHEN HORCHOS D.M.D. (PEDIATRIC DENTIST)
(267) 303-7289
Entity
Organization
Contact information
Practice address
42 W LANCASTER AVE STE 100, ARDMORE, PA 19003-1331
(610) 642-3417
Mailing address
18 HIGHLAND AVE, BELMONT HILLS, PA 19004-1812
(267) 303-7289
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225045974
INDIVIDUAL NPI#
—
Enumeration date
01/02/2018
Last updated
06/11/2019
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