Organization
INTEGRATED DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT NAKAMURA DMD (MANAGING MEMBER)
(610) 363-5887
Entity
Organization
Contact information
Practice address
80 W WELSH POOL RD, EXTON, PA 19341-1233
(610) 363-5997
Mailing address
80 W WELSH POOL RD, EXTON, PA 19341-1233
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS029571L
PA
Other
Enumeration date
10/08/2016
Last updated
10/08/2016
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