Organization
EAGLE FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRA DELLA CROCE D.M.D. (PRESIDENT)
(215) 200-7883
Entity
Organization
Contact information
Practice address
72 POTTSTOWN PIKE, SUITE 203, CHESTER SPRINGS, PA 19425-9564
(610) 458-5165
Mailing address
72 POTTSTOWN PIKE, SUITE 203, CHESTER SPRINGS, PA 19425-9564
(610) 458-5165
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
PA
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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