Organization
C & G DENTAL, KLC
Active
Other names
Abington Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HADI GHAZZOULI DMD (DENTIST)
(215) 884-3032
Entity
Organization
Contact information
Practice address
1377 OLD YORK RD, ABINGTON, PA 19001-3411
(215) 884-3032
(215) 884-5063
Mailing address
1377 OLD YORK RD, ABINGTON, PA 19001-3411
(215) 884-3032
(215) 884-5063
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS037471
PA
1223G0001X
General Practice Dentistry
Primary
DS037658
PA
1223P0300X
Periodontics
DS030826L
PA
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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