Organization
SONIA BARBOSA-RUIZ DMD PC
Active
Other names
Bloomfield Avenue Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP SHIN DDS (ASSOCIATE DENTIST)
(610) 284-4770
Entity
Organization
Contact information
Practice address
4130 BLOOMFIELD AVE, DREXEL HILL, PA 19026-3803
(610) 284-4770
(484) 273-0553
Mailing address
4130 BLOOMFIELD AVE, DREXEL HILL, PA 19026-3803
(610) 284-4770
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS029129L
PA
1223G0001X
General Practice Dentistry
DS029129L
PA
Other
Enumeration date
08/07/2017
Last updated
07/21/2022
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