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Organization

EXTON SPECIAL NEEDS DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOYCE ZUCCARINI (COO)
(215) 743-3700
Entity
Organization

Contact information

Practice address
80 WEST WELSH POOL ROAD, SUITE 201 N, EXTON, PA 19341-1233
(610) 363-0809
(610) 363-0169
Mailing address
6404 ROOSEVELT BLVD, PHILADELPHIA, PA 19149-2943
(215) 743-3700
(215) 743-3706

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
PA

Other

Enumeration date
11/04/2011
Last updated
11/04/2011
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