Boulevard Dental Associates
Boulevard Dental Associates is a General Practice Dentistry in Reading, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2009.
- Licensed in
- PA
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
430 Kenhorst BlvdReading, PA 19611-1830
Phone: (610) 775-0321
Fax: (610) 777-8884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DS036510 (PA) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence DN017638 (PA) |
Record details
| NPI number | 1659509404 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Timothy Medianick — Owner · (610) 775-0321 |
| NPI enumerated | June 30, 2009 |
| Last updated in NPPES | July 27, 2009 |
| Mailing address | 430 Kenhorst Blvd, Reading, PA 19611-1830 |
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