Organization
PEDIATRIC DENTAL ASSOC LTD
Active
Parent organization
PEDIATRIC DENTAL ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC DENTAL ASSOCIATES
Authorized official
MICHAEL S ROSENBAUM DMD (PARTNER)
(215) 743-3700
Entity
Organization
Contact information
Practice address
7 E SKIPPACK PIKE, SUITE 100, AMBLER, PA 19002-5308
(215) 653-0420
(215) 653-0808
Mailing address
6404 ROOSEVELT BLVD, PHILA, PA 19149
(215) 743-3700
(215) 743-3715
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS025205L
PA
Other
Enumeration date
12/22/2006
Last updated
08/17/2011
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