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Organization
WADSWORTH DENTAL, LLC
Active
Organization
WADSWORTH DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN FRANKLIN GILBERT III DDS (OWNER)
(610) 636-5804
Entity
Organization
Contact information
Practice address
1501 E WADSWORTH AVE, PHILADELPHIA, PA 19150-1605
(610) 636-5804
Mailing address
1501 E WADSWORTH AVE, PHILADELPHIA, PA 19150-1605
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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