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Organization
DEBRA V. IRVIN, DDS, PC
Active
Organization
DEBRA V. IRVIN, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA VIVIAN IRVIN DDS (OWNER DENTIST)
(215) 329-5512
Entity
Organization
Contact information
Practice address
5201 N BROAD ST, PHILA, PA 19141-1627
(215) 329-5512
(215) 329-0401
Mailing address
5201 N BROAD ST, PHILA, PA 19141-1627
(215) 329-5512
(215) 329-0401
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS023289L
PA
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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