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Organization

FAMILY DENTAL CARE / PETER I. PSOMIADIS, DMD

Active
Other names
Family Dental Care / Peter I. Psomiadis, DMD
Organization subpart
No

Provider details

NPI number
Authorized official
PETER I. PSOMIADIS DMD (OWNER)
(215) 723-8202
Entity
Organization

Contact information

Practice address
35 N 2ND ST, SOUDERTON, PA 18964-1106
(215) 723-8202
(215) 723-9663
Mailing address
35 N 2ND ST, SOUDERTON, PA 18964-1106
(215) 723-8202
(215) 723-9663

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1265006324
NPI TYPE 1
PA
01
1417026345
NPI TYPE 1
PA
Enumeration date
07/27/2021
Last updated
07/27/2021
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