# HAOSON DENTAL GROUP

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

## Provider details

- **NPI number:** 1124323357
- **Authorized official:** WEIXIONG STEPHEN HAO D.M.D. (VICE PRESIDENT)
- **Authorized official phone:** (610) 352-4525

## Contact information

- **Practice address:** 6 GARRETT RD, UPPER DARBY, PA 19082-2303
- **Practice address phone:** (610) 352-4525
- **Practice address fax:** (610) 352-4525
- **Mailing address:** 6 GARRETT RD, UPPER DARBY, PA 19082-2303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS036164 | PA | Yes |

## Other

- **Enumeration date:** 01/19/2011
- **Last updated:** 06/03/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0014245280003 | — | PA |