Individual
MIA NOTARIANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 OLD YORK RD STE 403, JENKINTOWN, PA 19046-1625
(215) 277-7880
Mailing address
1954 MAIN AVE, CONSHOHOCKEN, PA 19428-1215
(570) 335-8250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS044367
PA
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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