| Organization Name: | TENDER CARE PEDIATRIC DENTISTRY LLC |
| NPI Number: | 1043339476 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BEATRIZ DE LA ROCHE (OWNER) |
| Mailing Address: | 6583 Route 819 S Suite1 Mount Pleasant |
| State: | PA US |
| Postal Code: | 156663503 |
| Phone Number: | 7245424818 |
| Fax Number: | 7245424828 |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 12/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0221X |
| License Number: | DS030164L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Pediatric Dentistry |
| Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |