| NPI | 1508921644 |
|---|---|
| Other Name | DR GLENN MILLER AND DR DONALD TEDROW |
| Entity Type | Organization |
| Authorized Contact | DONALD G TEDROW Owner Partner 215-322-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS022913L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS023139L) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |