Organization
EDGEWOOD DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTOINETTE SLAVIN (OFFICE MANAGER)
(215) 493-7000
Entity
Organization
Contact information
Practice address
301 OXFORD VALLEY RD, SUITE 1105A, YARDEY, PA 19067
(215) 493-7000
(215) 493-7002
Mailing address
301 OXFORD VALLEY RD, SUITE 1105A, YARDEY, PA 19067
(215) 493-7000
(215) 493-7002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS026744L
PA
122300000X
Dentist
Primary
DS028078L
PA
122300000X
Dentist
DS028968L
PA
Other
Enumeration date
08/29/2006
Last updated
08/22/2020
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