Organization
GLEN MILLS DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANASTASIA DIXON (DIRECTOR OPERATIONS)
(619) 519-1561
Entity
Organization
Contact information
Practice address
23 REGENCY PLZ, GLEN MILLS, PA 19342-1001
(610) 358-5690
Mailing address
22 PAOLI PIKE, PAOLI, PA 19301-1830
(610) 358-5690
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
01/20/2023
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