Debra V. Irvin, Dds, Pc | |
5201 N Broad St Phila PA 19141-1627 | |
(215) 329-5512 | |
(215) 329-0401 |
Full Name | Debra V. Irvin, Dds, Pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 5201 N Broad St, Phila, Pennsylvania |
Authorized Official Name and Position | Debra Vivian Irvin (OWNER DENTIST) |
Authorized Official Contact | 2153295512 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Debra V. Irvin, Dds, Pc 5201 N Broad St Phila PA 19141-1627 Ph: (215) 329-5512 | Debra V. Irvin, Dds, Pc 5201 N Broad St Phila PA 19141-1627 Ph: (215) 329-5512 |
NPI Number | 1588965537 |
---|---|
Provider Enumeration Date | 11/08/2010 |
Last Update Date | 11/08/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588965537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DS023289L (Pennsylvania) | Primary |
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