# KENSINGTON PARADISE DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Paradise Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861113748
- **Authorized official:** VANESSA MERCADO (OFFICE ASSISTANT)
- **Authorized official phone:** (484) 640-9603

## Contact information

- **Practice address:** 2338 N FRONT ST, PHILADELPHIA, PA 19133-3716
- **Practice address phone:** (267) 886-9474
- **Mailing address:** 2338 N FRONT ST, PHILADELPHIA, PA 19133-3716
- **Mailing address phone:** (267) 886-9474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2022
- **Last updated:** 09/21/2022