Individual
THEODORE SLAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4033 CENTER AVE, LAFAYETTE HILL, PA 19444-1425
(215) 380-8689
Mailing address
4033 CENTER AVE, LAFAYETTE HILL, PA 19444-1425
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS043582
PA
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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