Organization
MAPLE GLEN CHILDRENS DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG BAIR D.M.D. (PRESIDENT)
(315) 657-5308
Entity
Organization
Contact information
Practice address
701 LIMEKILN PIKE, SUITE 4, MAPLE GLEN, PA 19002-2807
(315) 657-5308
Mailing address
2905 HARVARD CT, NORTH WALES, PA 19454-3783
(315) 657-5308
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS038605
PA
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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