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Organization
ACADEMY DENISTRY GROUP
Active
Organization
ACADEMY DENISTRY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK E MILLER (CFO)
(856) 905-1282
Entity
Organization
Contact information
Practice address
10101 ACADEMY RD STE 2, PHILADELPHIA, PA 19114-1120
(215) 637-5800
(215) 637-6704
Mailing address
10101 ACADEMY RD STE 2, PHILADELPHIA, PA 19114-1120
(215) 637-5800
(215) 637-6704
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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