Dentist On Washington | |
544 Washington Ave Phila PA 19147 | |
(215) 389-9889 | |
Not Available |
Full Name | Dentist On Washington |
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Speciality | Dentist - General Practice |
Location | 544 Washington Ave, Phila, Pennsylvania |
Authorized Official Name and Position | William John Costello (DENTIST/OWNER) |
Authorized Official Contact | 2153899889 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dentist On Washington 544 Washington Ave Phila PA 19147 Ph: () - | Dentist On Washington 544 Washington Ave Phila PA 19147 Ph: (215) 389-9889 |
NPI Number | 1255609848 |
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Provider Enumeration Date | 12/09/2011 |
Last Update Date | 12/09/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255609848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DSO36827 (Pennsylvania) | Primary |
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