Organization
CCD ARDMORE FAMILY DENTISTRY, LLC
Active
Other names
The Office of Dr. Bellisario
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH WALSH (DIRECTOR OF OPERATIONS)
(610) 642-7024
Entity
Organization
Contact information
Practice address
636 WYNNEWOOD RD, ARDMORE, PA 19003-2626
(610) 642-7024
(610) 642-0658
Mailing address
636 WYNNEWOOD RD, ARDMORE, PA 19003-2626
(610) 642-7024
(610) 642-0658
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
08/19/2020
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