Individual
ELIZABETH TWEDDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5099
(215) 707-2900
Mailing address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5099
(215) 740-7435
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS039931
PA
Other
Enumeration date
01/16/2013
Last updated
12/01/2022
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