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Organization
UNIVERSITY OF PENNSYLVANIA DENTAL CARE NETWORK
Active
Organization
UNIVERSITY OF PENNSYLVANIA DENTAL CARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH W WOLK (DIRECTOR PATIENT REVENUE)
(215) 898-3576
Entity
Organization
Contact information
Practice address
240 S 40TH ST, 3RD FLOOR, PHILADELPHIA, PA 19104-6030
(215) 898-4615
Mailing address
240 S 40TH ST, 3RD FLOOR, PHILADELPHIA, PA 19104-6030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS027324L
PA
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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