Most Relevant Information
Provider Data
| NPI Number: | 1003547829 |
| Provider Name: | MAX HARLEY BLUMENTHAL DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | DS043695 |
Most Important Dates
| Enumeration Date: | 06/22/2022 |
| Last Updated: | 06/22/2022 |
Provider Practice Location
6 ORIOLE AVE
MEDIA
PA
190634515
Practice Location Phone/Fax
| Phone: | 6106796109 |
| Fax: |
Provider Mailing Location
110 SIBLEY AVE APT 208
ARDMORE
PA
190032347
Provider Mailing Phone/Fax
| Phone: | 6107617251 |
| Fax: |