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Organization
SPECIAL OUTREACH SERVICES, PC
Active
Organization
SPECIAL OUTREACH SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GOLDSTEIN DDS (PRESIDENT)
(267) 639-6250
Entity
Organization
Contact information
Practice address
2301 E ALLEGHENY AVE STE 202, PHILADELPHIA, PA 19134-4427
(267) 639-6270
(267) 639-6270
Mailing address
2301 E ALLEGHENY AVE STE 202, PHILADELPHIA, PA 19134-4427
(267) 639-6270
(267) 639-6270
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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