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Contact Information

IMAGE DENTAL PC
600 E TOWNSHIP LINE ROAD
FIRST FLOOR
HAVERTOWN, PA19083
 Phone: 610-789-0888
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for IMAGE DENTAL PC · (Female)

NPI Number 1083963672
Status Active
Credentials
Entity Individual
Enumeration date 08/29/2012
Last updated 08/29/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # DS037476
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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