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Organization
AMJAD DENTAL ASSOCIATES INC
Active
Organization
AMJAD DENTAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA MARTINEZ (OFFICE MANAGER)
(215) 745-9100
Entity
Organization
Contact information
Practice address
500B E GODFREY AVE, PHILADELPHIA, PA 19120-2117
(215) 745-9100
Mailing address
500-B E GODFREY AVE, PHILADELPHIA, PA 19120-2129
(215) 745-9100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
020822
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00535362
—
PA
Enumeration date
03/28/2008
Last updated
06/26/2008
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