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Organization
P3 DENTAL PC
Active
Organization
P3 DENTAL PC
Active
Other names
Advanced Dentistry of Philadelphia
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PINKAL SHUKLA (MANAGER)
(215) 676-0222
Entity
Organization
Contact information
Practice address
10000 ROOSEVELT BLVD STE C, PHILADELPHIA, PA 19116-3904
(215) 676-0222
(215) 676-0224
Mailing address
10000 ROOSEVELT BLVD STE C, PHILADELPHIA, PA 19116-3904
(215) 676-0222
(215) 676-0224
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS029728L
PA
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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