# ABDELKADER FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1104384155
- **Authorized official:** DR. AHMED ABDELKADER DDS (DENTIST)
- **Authorized official phone:** (215) 324-1746

## Contact information

- **Practice address:** 358 E WYOMING AVE, PHILADELPHIA, PA 19120-4435
- **Practice address phone:** (215) 324-1746
- **Practice address fax:** (215) 324-5557
- **Mailing address:** 358 E WYOMING AVE, PHILADELPHIA, PA 19120-4435
- **Mailing address phone:** (215) 324-1746
- **Mailing address fax:** (215) 324-5557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2019
- **Last updated:** 03/08/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0016789780001 | — | PA |
| 05 | — | 1028562350006 | — | PA |