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Organization

COVENTRY DENTISTRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRYSTLE H CHUONG D.D.S. (DOCTOR/OWNER)
(610) 385-0022
Entity
Organization

Contact information

Practice address
2317 POTTSTOWN PIKE, POTTSTOWN, PA 19465-8722
(484) 985-8337
(484) 985-8249
Mailing address
957 BEN FRANKLIN HWY W, DOUGLASSVILLE, PA 19518-1037
(610) 385-0022
(610) 385-0025

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DS-022827L
PA
122300000X
Dentist
DS-028367L
PA
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
10/11/2017
Last updated
10/11/2017
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