Organization
HAVERTOWN DENTAL ASSOCIATES PC
Active
Other names
S-Corp
Organization subpart
No
Provider details
NPI number
Authorized official
JORGEN SVENSON DMD DDS (CO OWNER)
(610) 789-0158
Entity
Organization
Contact information
Practice address
1220 WEST CHESTER PIKE, HAVERTOWN, PA 19083
(610) 789-0158
(610) 789-9238
Mailing address
1220 WEST CHESTER PIKE, HAVERTOWN, PA 19083
(610) 789-0158
(610) 789-9238
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS020558L
PA
1223G0001X
General Practice Dentistry
Primary
DS026283L
PA
Other
Enumeration date
08/18/2006
Last updated
08/22/2020
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