Organization
COLLEGEVILLE DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN A ESTELLE IX DMD (OWNER)
(610) 489-4331
Entity
Organization
Contact information
Practice address
468 E MAIN ST, SUITE 200, COLLEGEVILLE, PA 19426
(610) 489-4331
(610) 454-9861
Mailing address
468 E MAIN ST, SUITE 200, COLLEGEVILLE, PA 19426
(610) 489-4331
(610) 454-9861
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS030535L
PA
Other
Enumeration date
08/23/2006
Last updated
08/22/2020
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