Avenue Of The Arts Dental | |
622 S Broad St Philadelphia PA 19146-1614 | |
(215) 545-0660 | |
(215) 545-0665 |
Full Name | Avenue Of The Arts Dental |
---|---|
Speciality | Dentist |
Location | 622 S Broad St, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Mark B Hoang (CEO) |
Authorized Official Contact | 2155450660 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Avenue Of The Arts Dental 622 S Broad St Philadelphia PA 19146-1614 Ph: (215) 545-0660 | Avenue Of The Arts Dental 622 S Broad St Philadelphia PA 19146-1614 Ph: (215) 545-0660 |
NPI Number | 1013297779 |
---|---|
Provider Enumeration Date | 08/25/2011 |
Last Update Date | 08/25/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013297779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DS037251 (Pennsylvania) | Primary |
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