# AVENUE OF THE ARTS DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013297779
- **Authorized official:** DR. MARK B HOANG DMD (CEO)
- **Authorized official phone:** (215) 545-0660

## Contact information

- **Practice address:** 622 S BROAD ST, PHILADELPHIA, PA 19146-1614
- **Practice address phone:** (215) 545-0660
- **Practice address fax:** (215) 545-0665
- **Mailing address:** 622 S BROAD ST, PHILADELPHIA, PA 19146-1614
- **Mailing address phone:** (215) 545-0660
- **Mailing address fax:** (215) 545-0665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS037251 | PA | Yes |

## Other

- **Enumeration date:** 08/25/2011
- **Last updated:** 08/25/2011