| NPI | 1851676035 |
|---|---|
| Doing Business As | BLUE BELL DENTAL CENTRE |
| Entity Type | Organization |
| Authorized Contact | MARK LAMONT BIDWELL Partner 610-279-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS021556L) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS026761L) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |