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Organization
JOHN A TAKACS DMD
Active
Organization
JOHN A TAKACS DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ALEXANDER TAKACS DMD (OWNER/DENTIST)
(215) 271-7259
Entity
Organization
Contact information
Practice address
1707W PASSYUNK AVE, PHILADELPHIA, PA 19145
(215) 271-7259
Mailing address
333 QUEEN ST, PHILADELPHIA, PA 19147-3220
(215) 287-9871
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS039780
PA
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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