Individual
DR. MAKI ISHII TSOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
919 CONESTOGA RD, BUILDING 2, SUITE 209, BRYN MAWR, PA 19010-1352
(484) 380-2143
(484) 380-2149
Mailing address
919 CONESTOGA RD, BUILDING 2, SUITE 209, BRYN MAWR, PA 19010-1352
(484) 380-2143
(484) 380-2149
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS036785
PA
Other
Enumeration date
05/27/2008
Last updated
03/16/2017
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