Organization
RUSSEL T BECHTLOFF DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSEL T BECHTLOFF DDS (OWNER)
(215) 750-1717
Entity
Organization
Contact information
Practice address
400 N BUCKSTOWN RD, SUITE 1C, LANGHORNE, PA 19047-8310
(215) 750-1717
(215) 750-6109
Mailing address
400 N BUCKSTOWN RD, SUITE 1C, LANGHORNE, PA 19047-8310
(215) 750-1717
(215) 750-6109
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
987639
UNITED CONCORDIA
PA
Enumeration date
02/06/2007
Last updated
08/22/2020
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