Individual
DR. RONALDO BARCELLOS DE SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSCD, DSC
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(610) 233-6872
Mailing address
335 RIGHTERS FERRY RD APT 204, BALA CYNWYD, PA 19004-1742
(610) 233-6872
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
RFD000061
PA
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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