# PHILIP EBDLAHAD DDS

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

## Provider details

- **NPI number:** 1336111293
- **Authorized official:** PHILIP EBDLAHAD (OWNER PRESIDENT)
- **Authorized official phone:** (610) 478-9044

## Contact information

- **Practice address:** 236 N 5TH ST, READING, PA 19601
- **Practice address phone:** (610) 478-9044
- **Practice address fax:** (610) 478-9401
- **Mailing address:** 236 N 5TH ST, READING, PA 19601
- **Mailing address phone:** (610) 478-9044
- **Mailing address fax:** (610) 478-9401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS028620L | PA | Yes |

## Other

- **Enumeration date:** 02/06/2006
- **Last updated:** 02/28/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0014310400002 | — | PA |