Doctor Name: | ALEXANDRA MALEBRANCHE |
NPI Number: | 1497010458 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DDS |
License Number: | DS040740 |
Business Practice Address: | 900 W Baltimore Pike Ste 203 West Grove, PA - 193909313 |
Business Phone Number: | 6108699727 |
Business Fax Number: | |
Mailing Address: | 900 W Baltimore Pike Ste 203, WEST GROVE |
State: | PA |
Postal Code: | 193909313 |
Phone Number: | 6108699727 |
Fax Number: | |
NPI Enumeration Date: | 07/05/2012 |
NPI Last Update Date: | 05/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | DS040740 |
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. |