Individual
DR. THERESA MARIE DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
580 REED RD, SUITE 7A, BROOMALL, PA 19008-3655
(610) 353-7811
(610) 353-3565
Mailing address
580 REED RD, SUITE 7A, BROOMALL, PA 19008-3655
(610) 353-7811
(610) 353-3565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS028181L
PA
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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