Organization
JOHN T. WAITE, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN T. WAITE D.D.S. (OWNER)
(610) 394-3363
Entity
Organization
Contact information
Practice address
282 N LANSDOWNE AVE, LANSDOWNE, PA 19050-1101
(610) 394-3363
(610) 259-7785
Mailing address
282 N LANSDOWNE AVE, LANSDOWNE, PA 19050-1101
(610) 394-3363
(610) 259-7785
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS026358L
PA
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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