# AMJAD DENTAL ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770755944
- **Authorized official:** MRS. THERESA MARTINEZ (OFFICE MANAGER)
- **Authorized official phone:** (215) 745-9100

## Contact information

- **Practice address:** 500B E GODFREY AVE, PHILADELPHIA, PA 19120-2117
- **Practice address phone:** (215) 745-9100
- **Mailing address:** 500-B E GODFREY AVE, PHILADELPHIA, PA 19120-2129
- **Mailing address phone:** (215) 745-9100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 020822 | PA | Yes |

## Other

- **Enumeration date:** 03/28/2008
- **Last updated:** 06/26/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00535362 | — | PA |