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Individual

DR. GEORGES BANDELAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3855 W CHESTER PIKE, SUITE 225, NEWTOWN SQUARE, PA 19073-2304
(484) 420-4643
(484) 420-4645
Mailing address
3855 W CHESTER PIKE, SUITE 225, NEWTOWN SQUARE, PA 19073-2304
(484) 420-4643
(484) 420-4645

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
2901019723
MI
1223P0300X
Periodontics
Primary
DS038170
PA

Other

Enumeration date
12/10/2008
Last updated
07/20/2011
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