# HOORFAR DENTAL GROUP-SPRING GARDEN LLC

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

## Provider details

- **NPI number:** 1164972451
- **Authorized official:** MARIELLEN HANLIN (OFFICE MANAGER)
- **Authorized official phone:** (215) 643-5220

## Contact information

- **Practice address:** 1825 SPRING GARDEN ST, PHILADELPHIA, PA 19130-3916
- **Practice address phone:** (215) 972-0965
- **Mailing address:** 1825 SPRING GARDEN ST, PHILADELPHIA, PA 19130-3916
- **Mailing address phone:** (215) 972-0965

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS 029513L | PA | Yes |

## Other

- **Enumeration date:** 10/11/2016
- **Last updated:** 10/11/2016