Organization
DR. STEVEN SOLOW DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN J SOLOW DMD (PRESIDENT)
(610) 649-8383
Entity
Organization
Contact information
Practice address
990 CITY AVE, WYNNEWOOD, PA 19096-4005
(610) 649-8383
(610) 649-5484
Mailing address
990 CITY AVE, WYNNEWOOD, PA 19096-4005
(610) 649-8383
(610) 649-5484
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS019948L
PA
1223P0221X
Pediatric Dentistry
DS038347
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DS019948L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026773500001
—
PA
05
—
1027654710001
—
PA
01
—
20315
UNITED CONCORDIA
PA
01
—
39253
UNITED CONCORDIA
PA
Enumeration date
02/11/2015
Last updated
04/29/2015
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