Organization
BROOMALL PEDIATRIC DENTISTRY & ORTHODONTICS,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY GOLDSLEGER D.D.S. (DENTIST,OWNER)
(484) 454-3230
Entity
Organization
Contact information
Practice address
1220 W CHESTER PIKE, HAVERTOWN, PA 19083-3339
(484) 454-3230
(484) 455-7186
Mailing address
1220 W CHESTER PIKE, HAVERTOWN, PA 19083-3339
(484) 454-3230
(484) 455-7186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
PA
1223P0221X
Pediatric Dentistry
Primary
—
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
PA
Other
Enumeration date
12/18/2006
Last updated
04/28/2016
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