Organization · Type 2 NPI
David Maconi DDS LLC
Dental Clinic/Center · Havertown, PA
NPI number
1104588730
Active
Practice location
810 Darby Rd
Havertown, PA 19083-4607
Mailing address
195 E Chelsea Cir
Newtown Square, PA 19073-2110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1104588730
David Maconi DDS LLC's National Provider Identifier is 1104588730, issued on Oct 11, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Havertown, PA. The record was last updated on Oct 11, 2021.