Individual
DONALD GRANT TEDROW III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
130 ALMSHOUSE RD, SUITE 500, RICHBORO, PA 18954-1100
(215) 322-0440
(215) 322-3941
Mailing address
130 ALMSHOUSE RD, SUITE 500, RICHBORO, PA 18954-1100
(215) 322-0440
(215) 322-3941
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-023139L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508921644
TYPE 2 NPI - RICHBORO FAMILY DENTISTRY LLC
PA
Enumeration date
06/30/2008
Last updated
06/30/2008
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