Organization
ARDMORE ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD TITLEBAUM (MANAGING MEMBER)
(610) 649-5235
Entity
Organization
Contact information
Practice address
702 TIMES BUILDING, SUBURBAN SQUARE, ARDMORE, PA 19003
(610) 649-5235
(610) 649-4778
Mailing address
702 TIMES BUILDING, SUBURBAN SQUARE, ARDMORE, PA 19003
(610) 649-5235
(610) 649-4778
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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