Organization
KENNETT SQUARE PERIODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEYED SHAMSEDDIN DDS (OWNER)
(610) 944-5080
Entity
Organization
Contact information
Practice address
630 COPE RD, SUITE C, KENNETT SQUARE, PA 19348-2438
(610) 944-5080
(610) 444-5876
Mailing address
630 COPE RD, SUITE C, KENNETT SQUARE, PA 19348-2438
(610) 944-5080
(610) 444-5876
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
BS2998459
PA
Other
Enumeration date
08/14/2006
Last updated
08/22/2020
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