Organization
BETHELDENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES J ROSE DMD (MANAGING MEMBER)
(856) 904-9946
Entity
Organization
Contact information
Practice address
1376 NAAMANS CREEK RD, GARNET VALLEY, PA 19060-1608
(610) 459-5859
(610) 485-1782
Mailing address
1376 NAAMANS CREEK RD, GARNET VALLEY, PA 19060-1608
(610) 459-5859
(610) 485-1782
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI014622
NJ
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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