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General Practice Dentistry

NPI: 1821883364Individual

Specialties, Licenses & Credentials

General Practice DentistryPrimary

Dentist — General Practice

Code: 1223G0001X

DS045228(PA)

Contact & Hours

Address: 6100 N 5TH ST
PHILADELPHIA, PA 19120
Phone: (835) 342-5336

Quick Facts

NPI: 1821883364
Entity Type: Individual
Gender: X
Medicare: Not confirmed
Specialties: 1
Locations: 1

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