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Organization
DAVID J. FOX, D.M.D., P.C.
Active
Organization
DAVID J. FOX, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J. FOX DMD (PRESIDENT)
(215) 481-0441
Entity
Organization
Contact information
Practice address
2401 PENNSYLVANIA AVE STE 1A8, PHILADELPHIA, PA 19130-3002
(215) 481-0441
Mailing address
PO BOX 624, FOXCROFT SQUARE, PA 19046-7024
(215) 481-0441
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
1223P0700X
Prosthodontics
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS-022175L
PENNSYLVANIA DEPARTMENT OF STATE - BOARD OF DENTISTRY
PA
Enumeration date
11/06/2009
Last updated
08/03/2020
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