# DENTAL IMPLANT SPECIALISTS OF PENNSYLVANIA II, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dentistry for Life
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134944960
- **Authorized official:** RIAD ALMASRI (PROVIDER PARTNER)
- **Authorized official phone:** (469) 688-5555

## Contact information

- **Practice address:** 1601 WALNUT ST STE 1217, PHILADELPHIA, PA 19102-2908
- **Practice address phone:** (215) 575-0550
- **Mailing address:** 3500 MAPLE AVE STE 1600, DALLAS, TX 75219-3936

## Taxonomy

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

## Other

- **Enumeration date:** 11/18/2024
- **Last updated:** 11/18/2024