Organization
FAMILY DENTAL SERVICE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID N. BORDONARO D.M.D. (PRESIDENT)
(610) 434-9660
Entity
Organization
Contact information
Practice address
123 N 13TH ST, ALLENTOWN, PA 18102-3758
(610) 434-9660
Mailing address
123 N 13TH ST, ALLENTOWN, PA 18102-3758
(610) 434-9660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
PA
1223E0200X
Endodontics
—
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
PA
Other
Enumeration date
04/03/2007
Last updated
09/15/2014
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