Individual
DR. TIMOTHY MEDIANICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
430 KENHORST BLVD, READING, PA 19611-1830
(610) 775-0321
(610) 777-8884
Mailing address
2 BORDEAUX DR, MOHNTON, PA 19540-8905
(717) 823-1392
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS036510
PA
Other
Enumeration date
05/11/2007
Last updated
07/13/2016
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