# DENTAL ARTISTRY

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

## Provider details

- **NPI number:** 1902297823
- **Authorized official:** DR. MARYAM ROSTAMI DMD (PARTNER DENTIST)
- **Authorized official phone:** (215) 575-0550

## Contact information

- **Practice address:** 1601 WALNUT ST, SUITE 1217, PHILADELPHIA, PA 19102-2944
- **Practice address phone:** (215) 575-0550
- **Mailing address:** 2300 WALNUT ST, SUITE 1217, PHILADELPHIA, PA 19103-5552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS039480 | PA | Yes |
| 122300000X | Dentist | DS039657 | PA | — |
| 124Q00000X | Dental Hygienist | DH071243 | PA | — |

## Other

- **Enumeration date:** 02/13/2015
- **Last updated:** 02/13/2015