Individual
DR. STEPHEN DAVID ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.M.SC.
Contact information
Practice address
1665 VALLEY CENTER PKWY, SUITE 100, BETHLEHEM, PA 18017-2269
(610) 691-4450
Mailing address
1665 VALLEY CENTER PKWY, SUITE 100, BETHLEHEM, PA 18017-2269
(610) 691-4450
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS036407
PA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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