# DENTAL GERMANTOWN, LLC

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

## Provider details

- **NPI number:** 1487260220
- **Authorized official:** DR. BENJAMIN F GILBERT III DDS (OWNER)
- **Authorized official phone:** (610) 636-5804

## Contact information

- **Practice address:** 2627 GERMANTOWN AVE, PHILADELPHIA, PA 19133-1618
- **Practice address phone:** (215) 228-8723
- **Practice address fax:** (215) 221-6169
- **Mailing address:** 2627 GERMANTOWN AVE, PHILADELPHIA, PA 19133-1618
- **Mailing address phone:** (215) 228-8723
- **Mailing address fax:** (215) 221-6169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/17/2020
- **Last updated:** 09/17/2020
