Provider First Line Business Practice Location Address:
100 PESI DENTAL BLVD
Provider Second Line Business Practice Location Address:
DELAWARE VALLEY ORTHOPEDIC SPINE SURGI CENTER
Provider Business Practice Location Address City Name:
BALA CYNWD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
02951
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-467-4600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/05/2006