Stiven Mita Dmd Llc | |
2438 Brown St Philadelphia PA 19130-1932 | |
(215) 236-6200 | |
Not Available |
Full Name | Stiven Mita Dmd Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 2438 Brown St, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Stiven Mita (DENTIST/OWNER) |
Authorized Official Contact | 2679774638 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stiven Mita Dmd Llc 2438 Brown St Unit 1 Philadelphia PA 19130-1932 Ph: () - | Stiven Mita Dmd Llc 2438 Brown St Philadelphia PA 19130-1932 Ph: (215) 236-6200 |
NPI Number | 1043096159 |
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Provider Enumeration Date | 09/05/2023 |
Last Update Date | 09/05/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043096159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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