Organization
PA PEDIATRIC DENTAL LASER CENTER LLC
Active
Other names
Pediatric Dental Laser Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P WONG DDS (OWNER)
(267) 903-2950
Entity
Organization
Contact information
Practice address
2100 N BROAD ST STE 201, LANSDALE, PA 19446-1052
(267) 903-2950
Mailing address
2100 N BROAD ST STE 201, LANSDALE, PA 19446-1052
(267) 903-2950
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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