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Organization
PHILADELPHIA DENTAL COSMETICS
Active
Organization
PHILADELPHIA DENTAL COSMETICS
Active
Parent organization
PHILADELPHIA DENTAL COSMETICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHILADELPHIA DENTAL COSMETICS
Authorized official
JAY J LIU DMD, FICOI (OWNER (SELF))
(267) 250-8082
Entity
Organization
Contact information
Practice address
1601 WALNUT ST, SUITE 822, PHILADELPHIA, PA 19102
(215) 557-7979
(215) 557-7930
Mailing address
1601 WALNUT ST, SUITE 822, PHILADELPHIA, PA 19102
(215) 557-7979
(215) 557-7930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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