Organization
INFINITY DENTAL MANAGEMENT LLC
Active
Other names
Alliance Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A RADER (INSURANCE MANAGER)
(215) 750-2254
Entity
Organization
Contact information
Practice address
240 MIDDLETOWN BLVD, SUITE 104, LANGHORNE, PA 19047-1832
(215) 750-2220
(215) 750-2221
Mailing address
240 MIDDLETOWN BLVD, SUITE 104, LANGHORNE, PA 19047-1832
(215) 750-2220
(215) 750-2221
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
DS036212L
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS018685L
PA
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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