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Organization

PENNSBURY CHILDRENS DENTAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RUSSEL T BECHTLOFF DDS (OWNER)
(215) 750-1717
Entity
Organization

Contact information

Practice address
400 N BUCKSTOWN RD, SUITE 1C, LANGHORNE, PA 19047-8310
(215) 750-1717
(215) 750-6109
Mailing address
400 N BUCKSTOWN RD, SUITE 1C, LANGHORNE, PA 19047-8310
(215) 750-1717
(215) 750-6109

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000752380
UNITED CONCORDIA
PA
Enumeration date
02/06/2007
Last updated
06/16/2008
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