Individual
DR. EDWARD P THIEVON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
532 S OXFORD VALLEY RD, FAIRLESS HILLS, PA 19030-2615
(215) 946-3655
Mailing address
36 GABLE WING CIR, NEWTOWN, PA 18940
(215) 579-2405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DSO28083L
PA
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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