Organization
ROBERT M CHIDECKEL,DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MARK CHIDECKEL D.M.D. (DENTIST)
(610) 876-8038
Entity
Organization
Contact information
Practice address
3309 EDGMONT AVE, BROOKHAVEN, PA 19015-2830
(610) 876-8038
(610) 876-2910
Mailing address
3309 EDGMONT AVE, BROOKHAVEN, PA 19015-2830
(610) 876-8038
(610) 876-2910
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS022107L
PA
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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