# DR. KEN CIRKA DMD

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

## Provider details

- **NPI number:** 1306981840
- **Authorized official:** DR. KEN CIRKA DMD (OWNER DENTIST)
- **Authorized official phone:** (215) 568-6222

## Contact information

- **Practice address:** 1601 WALNUT ST, STE 1302, PHILA, PA 19102
- **Practice address phone:** (215) 568-6222
- **Practice address fax:** (215) 568-4343
- **Mailing address:** 1601 WALNUT ST, STE 1302, PHILA, PA 19102
- **Mailing address phone:** (215) 568-6222
- **Mailing address fax:** (215) 568-4343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS 030533L | PA | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 08/22/2020