Organization
DREAM-DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON SEBASTIAN ROEDER JR. DMD (PRINCIPAL)
(215) 538-1109
Entity
Organization
Contact information
Practice address
1326 W BROAD ST, QUAKERTOWN, PA 18951-1108
(215) 538-1109
(215) 536-6114
Mailing address
1326 W BROAD ST, QUAKERTOWN, PA 18951-1108
(215) 538-1109
(215) 536-6114
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
DS025683L
PA
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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