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Organization

WOODHAVEN ULTIMATE DENTAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DOUGLAS GREENFIELD (COMPLIANCE OFFICER)
(215) 422-3647
Entity
Organization

Contact information

Practice address
1 WOODHAVEN MALL STE 106, BENSALEM, PA 19020-5609
(215) 245-5335
Mailing address
1 WOODHAVEN MALL STE 106, BENSALEM, PA 19020-5609
(215) 245-5335

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
09/12/2019
Last updated
12/21/2019
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