Individual
MRS. MICAELLA QUEIROZ BORGES-SCHOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
780 W LANCASTER AVE, SUITE 100, BRYN MAWR, PA 19010-3415
(610) 527-2434
Mailing address
6 HOWE CT, GLEN MILLS, PA 19342-1783
(610) 399-0821
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
030252
PA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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