Most Relevant Information
Provider Data
| NPI Number: | 1003244542 |
| Provider Name: | GLENDA EIDENSHINK D.M.D |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | DS039719 |
Most Important Dates
| Enumeration Date: | 10/18/2013 |
| Last Updated: | 04/09/2015 |
Provider Practice Location
853 2ND STREET PIKE STE B104
RICHBORO
PA
189541083
Practice Location Phone/Fax
| Phone: | 2153227800 |
| Fax: |
Provider Mailing Location
853 2ND STREET PIKE STE B104
RICHBORO
PA
189541083
Provider Mailing Phone/Fax
| Phone: | 2153227800 |
| Fax: |