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Organization
SOCIETY HILL DENTAL ASSOCIATES
Active
Organization
SOCIETY HILL DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT J BONOMO DMD (OWNER/VICE PRESIDENT)
(215) 238-0800
Entity
Organization
Contact information
Practice address
21 S 5TH ST, SUITE 610, PHILADELPHIA, PA 19106-2515
(215) 238-0800
Mailing address
21 S 5TH ST, SUITE 610, PHILADELPHIA, PA 19106-2515
(215) 238-0800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS025793-L
PA
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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